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FRED LWAKAAKA APRN
NPI 1588181713
Nurse Practitioner - Gerontology in Little Egg Harbor Twp, NJ

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
281 MATHISTOWN RD, LITTLE EGG HARBOR TWP, NJ 08087(609) 857-4141 Get Directions Write a Review

NPPES record last updated: August 28, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Fred Lwakaaka Aprn NPPES

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

FRED LWAKAAKA APRN (NPI 1588181713) is an individual gerontology provider in Little Egg Harbor Twp, New Jersey, licensed in New Jersey (26NJ00731800) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2018).

NPPES Registry Identity

NPI1588181713
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameFRED LWAKAAKACredential: APRN
Location Address281 MATHISTOWN RDLittle Egg Harbor Twp, NJ 08087-4066
Mailing Address61 Ashley DrFranklinville, NJ 08322-2686 · (732) 986-3486
Phone(609) 857-4141
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2018
Enumeration DateAugust 28, 2017
✔ NPI 1588181713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in NJ · 26NJ00731800
281 MATHISTOWN RD, Little Egg Harbor Twp, NJ 08087
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

Fred Lwakaaka Aprn 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 ID9032470604
PECOS Enrollment IDI20180221002645, I20251029003766
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

3

Medicare enrollment records show Fred Lwakaaka reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Omega Physicians LLC
33 mi
Internal Medicine
103 OLD MARLTON PIKE STE 124
Medford, NJ 08055
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • 24 clinicians in this Medicare group
NPI 1629653563 (888) 575-9162
Seto Medical Providers,llc
45 mi
Internal Medicine
100 W RED BANK AVE
West Deptford, NJ 08096
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1922299288 (856) 292-8216
Nj Memory And Behavioral Care
86 mi
Geriatric Psychiatry
14 RIDGEDALE AVE STE 103
Cedar Knolls, NJ 07927
  • Reassigned Medicare billing, New Jersey enrollment
  • 114 clinicians in this Medicare group
NPI 1538499181 (973) 295-6335

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 4

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
84 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
77 services58 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
48 services48 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08087 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%686 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
94%66 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
100%96 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
6%96 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 5% · 86 patients
5%86 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier25 claims25 services$38.34 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$10.95 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier20 claims20 services$5.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GENELLE GUNDERSEN OTR
Occupational Therapist
281 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 857-4141
KATHRINE ORLANDO
Occupational Therapist
281 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 857-4141
LAUREN H BOTSIS
Physical Therapist
281 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 857-4141
OZCAN DALGIC PT
Physical Therapist (Geriatrics)
281 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 852-4141
LEIGH A MCGUIGAN OT
Occupational Therapist
281 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 857-4141
ENCORE PREAKNESS, INC.
Physical Medicine & Rehabilitation
281 MATHISTOWN RD, ROOM 152
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 857-4141
SEACREST ASSISTED LIVING LLC
Assisted Living Facility
281 MATHISTOWN RD
LITTLE EGG HARBOR TWP, NJ 08087
Ocean County (609) 857-4141

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 Fred Lwakaaka's NPI number?

The NPI number for Fred Lwakaaka is 1588181713. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Fred Lwakaaka located?

Fred Lwakaaka practices at 281 Mathistown Rd, Little Egg Harbor Twp, NJ 08087. The listed phone number is (609) 857-4141.

What is Fred Lwakaaka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Fred Lwakaaka enrolled in Medicare?

Yes. Fred Lwakaaka 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 Fred Lwakaaka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fred Lwakaaka reassigns Medicare benefits to 3 organizations: Omega Physicians LLC (Medford, NJ), Seto Medical Providers,llc (West Deptford, NJ) and Nj Memory And Behavioral Care (Cedar Knolls, 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 Fred Lwakaaka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fred Lwakaaka accept?

Health plans from Oscar Health list Fred Lwakaaka 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 Fred Lwakaaka was last updated on August 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.