KELLY ANN PEREZ PMHNP
NPI 1528802220
Nurse Practitioner - Psychiatric/Mental Health in Fanwood, NJ
About Kelly Ann Perez Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY ANN PEREZ PMHNP (NPI 1528802220) is an individual psychiatric/mental health provider in Fanwood, New Jersey, licensed in New Jersey (26NJ15092100) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
Kelly Ann Perez Pmhnp 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
2Medicare enrollment records show Kelly Perez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- 10 clinicians in this Medicare group
Point Pleasant Boro, NJ 08742
- Reassigned Medicare billing, New Jersey enrollment
- 12 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07023 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FANWOOD, NJ 07023
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 Kelly Perez's NPI number?
The NPI number for Kelly Perez is 1528802220. It was assigned to this individual provider in the NPPES registry on June 19, 2024.
Where is Kelly Perez located?
Kelly Perez practices at 193 Terrill Rd, Fanwood, NJ 07023. The listed phone number is (908) 258-9524.
What is Kelly Perez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kelly Perez enrolled in Medicare?
Yes. Kelly Perez 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 Kelly Perez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Perez reassigns Medicare benefits to 2 organizations: Tree Of Life Counseling Center, LLC (Freehold, NJ) and Valeo Behavioral Health, Inc. (Point Pleasant Boro, 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 Kelly Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Perez accept?
Health plans from Oscar Health list Kelly Perez 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.
When was this NPI record last updated?
The NPPES record for Kelly Perez was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Kelly Ann Perez, PMHNP · NPI 1528802220
Psychiatric/Mental Health physician in Fanwood, New Jersey. Individual provider, active in the CMS NPPES registry since June 19, 2024.
## Identity
- **NPI:** 1528802220 (Entity type: Individual)
- **Enumerated:** June 19, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 26NJ15092100 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 193 TERRILL RD, Fanwood, NJ 07023-1055
- **Phone:** (908) 258-9524
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tree Of Life Counseling Center, LLC (NPI 1841711306, Freehold, NJ); Valeo Behavioral Health, Inc. (NPI 1851677033, Point Pleasant Boro, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528802220) · Data from the CMS NPPES public registry.