ELIZABETH ANN PRUDENT FNP-BC
NPI 1629894134
Nurse Practitioner - Family in Clark, NJ

Active since November 29, 2024PECOS EnrolledAccepts Medicare Assignment
241 WESTFIELD AVE, CLARK, NJ 07066(866) 389-2727 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth Ann Prudent Fnp-bc NPPES

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

ELIZABETH ANN PRUDENT FNP-BC (NPI 1629894134) is an individual family provider in Clark, New Jersey, licensed in New Jersey (26NJ15224500) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Scotch Plains, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629894134
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH ANN PRUDENTCredential: FNP-BC
Location Address241 WESTFIELD AVEClark, NJ 07066-1547
Mailing Address1331 Greenway BlvdRoselle, NJ 07203-3042 · (201) 702-6896
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 29, 2024
Last NPPES UpdateDecember 16, 2024
NPPES CertifiedDecember 16, 2024
NPI 1629894134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ15224500
241 WESTFIELD AVE, Clark, NJ 07066

Secondary Practice Location 1

Location 11900 Raritan RdScotch Plains, NJ 07076-2963 · Phone (908) 889-7780

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

Elizabeth Ann Prudent Fnp-bc 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 ID749717460
PECOS Enrollment IDI20241219001278
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07066 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 7

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

Nurse Practitioner (Family)
241 WESTFIELD AVE
CLARK, NJ 07066
Pharmacy
241 WESTFIELD AVE
CLARK, NJ 07066
Nurse Practitioner (Family)
241 WESTFIELD AVE
CLARK, NJ 07066
Nurse Practitioner (Family)
241 WESTFIELD AVE
CLARK, NJ 07066
Nurse Practitioner (Family)
241 WESTFIELD AVE
CLARK, NJ 07066
Pharmacist
241 WESTFIELD AVE
CLARK, NJ 07066
Nurse Practitioner (Family)
241 WESTFIELD AVE
CLARK, NJ 07066

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 Elizabeth Prudent's NPI number?

The NPI number for Elizabeth Prudent is 1629894134. It was assigned to this individual provider in the NPPES registry on November 29, 2024.

Where is Elizabeth Prudent located?

Elizabeth Prudent practices at 241 Westfield Ave, Clark, NJ 07066. The listed phone number is (866) 389-2727.

What is Elizabeth Prudent's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Prudent enrolled in Medicare?

Yes. Elizabeth Prudent 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 Elizabeth Prudent was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.