KELLY ANN PEREZ PMHNP
NPI 1528802220
Nurse Practitioner - Psychiatric/Mental Health in Fanwood, NJ

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment
193 TERRILL RD, FANWOOD, NJ 07023(908) 258-9524 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 19, 2025, Jun 19, 2024 (2 updates tracked since 2024).

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

NPI1528802220
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY ANN PEREZCredential: PMHNP
Location Address193 TERRILL RDFanwood, NJ 07023-1055
Mailing Address193 Terrill RdFanwood, NJ 07023-1055 · (908) 258-9524
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2024
Last NPPES UpdateJune 19, 20252 updates tracked since enumeration
NPPES CertifiedJune 19, 2025
NPI 1528802220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NJ · 26NJ15092100
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR11463600 (NJ)
193 TERRILL RD, Fanwood, NJ 07023

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID2769929066
PECOS Enrollment IDI20240805001828
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
49 services20 patients

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.

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.

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.

Chiropractor
193 TERRILL RD
FANWOOD, NJ 07023
Nurse Practitioner (Psychiatric/Mental Health)
193 TERRILL RD
FANWOOD, NJ 07023
Chiropractor (Rehabilitation)
193 TERRILL RD
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.

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 14 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.