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DANIELA GUIMARAES APN
NPI 1528614112
Nurse Practitioner - Acute Care in Glen Ridge, NJ

Active since August 10, 2019PECOS EnrolledAccepts Medicare Assignment
311 BAY AVE STE 100, GLEN RIDGE, NJ 07028(551) 996-9250(551) 996-9259 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2024, Mar 1, 2021, Aug 10, 2019 (3 updates tracked since 2019).

About Daniela Guimaraes Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELA GUIMARAES APN (NPI 1528614112) is an individual acute care provider in Glen Ridge, New Jersey, licensed in New Jersey (26NJ00945100) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (2019).

NPPES Registry Identity

NPI1528614112
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDANIELA GUIMARAESCredential: APN
Location Address311 BAY AVE STE 100Glen Ridge, NJ 07028-1621
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(551) 996-9250
Fax(551) 996-9259
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2019
Enumeration DateAugust 10, 2019
Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1528614112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ00945100
311 BAY AVE STE 100, Glen Ridge, NJ 07028
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Daniela Guimaraes Apn 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.

PECOS PAC ID9739585779
PECOS Enrollment IDI20210831001198
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Daniela Guimaraes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Robert Wood Johnson Medical Associates
26 mi
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1902848625 (732) 235-7840
Hackensack Meridian Health Medical Group - Specialty Care PC
33 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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.

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier30 claims6,250 services$0.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers20 claims20 services$18.03 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers32 claims37 services$11.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Daniela Guimaraes's NPI number?

The NPI number for Daniela Guimaraes is 1528614112. It was assigned to this individual provider in the NPPES registry on August 10, 2019.

Where is Daniela Guimaraes located?

Daniela Guimaraes practices at 311 Bay Ave Ste 100, Glen Ridge, NJ 07028. The listed phone number is (551) 996-9250.

What is Daniela Guimaraes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Daniela Guimaraes enrolled in Medicare?

Yes. Daniela Guimaraes 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 Daniela Guimaraes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniela Guimaraes reassigns Medicare benefits to 2 organizations: Robert Wood Johnson Medical Associates (New Brunswick, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Daniela Guimaraes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniela Guimaraes accept?

Health plans from Oscar Health list Daniela Guimaraes as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Daniela Guimaraes affiliated with any hospitals?

According to CMS data, Daniela Guimaraes is affiliated with Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Daniela Guimaraes was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.