JOHN-ERIC VALLARTA CRNA
NPI 1497781140
Nurse Anesthetist, Certified Registered in Montclair, NJ
About John-eric Vallarta Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN-ERIC VALLARTA CRNA (NPI 1497781140) is an individual nurse anesthetist, certified registered in Montclair, New Jersey, licensed in New Jersey (26NJ00341600) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains a secondary practice location in Secucus.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John-eric Vallarta Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show John-eric Vallarta reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Passaic, NJ 07055
- Reassigned Medicare billing, New Jersey enrollment
- 74 clinicians in this Medicare group
Englewood, NJ 07631
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Northern Valley Anesthesiology PA
- 138 clinicians in this Medicare group
Saint Louis, MO 63136
- Reassigned Medicare billing, Missouri enrollment
- Medicare enrollment name: Midwest Anesthesia Providers Sc
- 230 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTCLAIR, NJ 07042
MONCLAIR, NJ 07042
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John-eric Vallarta's NPI number?
The NPI number for John-eric Vallarta is 1497781140. It was assigned to this individual provider in the NPPES registry on June 24, 2006.
Where is John-eric Vallarta located?
John-eric Vallarta practices at 1 Bay Avenue Mountainside Medical Center, Montclair, NJ 07042. The listed phone number is (973) 429-6000.
What is John-eric Vallarta's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is John-eric Vallarta enrolled in Medicare?
Yes. John-eric Vallarta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John-eric Vallarta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John-eric Vallarta reassigns Medicare benefits to 3 organizations: Prime Healthcare Services - St. Mary's Passaic, LLC (Passaic, NJ), Northern Valley Anesthesiology, P.A. (Englewood, NJ) and Midwest Anesthesia Providers S.C (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John-eric Vallarta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John-eric Vallarta affiliated with any hospitals?
According to CMS data, John-eric Vallarta is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for John-eric Vallarta was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# John-Eric Vallarta, CRNA · NPI 1497781140
Nurse Anesthetist, Certified Registered physician in Montclair, New Jersey. Individual provider, active in the CMS NPPES registry since June 24, 2006.
## Identity
- **NPI:** 1497781140 (Entity type: Individual)
- **Enumerated:** June 24, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 26NJ00341600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BAY AVENUE, MOUNTAINSIDE MEDICAL CENTER, Montclair, NJ 07042
- **Phone:** (973) 429-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Prime Healthcare Services - St. Mary's Passaic, LLC (NPI 1730508250, Passaic, NJ); Northern Valley Anesthesiology, P.A. (NPI 1245289487, Englewood, NJ); Midwest Anesthesia Providers S.C (NPI 1295189082, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** October 19, 2022
- **Other identifiers:** Medicaid 7100005840 (KY); Other 000000521892 (KY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1497781140) · Data from the CMS NPPES public registry.