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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DANIEL ARTHUR FNP-C
NPI 1649783010
Nurse Practitioner - Family in Kinnelon, NJ

Active since November 08, 2017PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
25 KINNELON RD STE K, KINNELON, NJ 07405(973) 838-0200(973) 838-1614 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 16, 2026, Aug 6, 2026, Nov 26, 2025 and 3 more (6 updates tracked since 2017).

About Daniel Arthur Fnp-c NPPES

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

DANIEL ARTHUR FNP-C (NPI 1649783010) is an individual family provider in Kinnelon, New Jersey, licensed in New Jersey (26NJ00770200) and active in the NPI registry since November 2017. He is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and maintains a secondary practice location in Clifton.

NPPES Registry Identity

NPI1649783010
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDANIEL ARTHURCredential: FNP-C
Location Address25 KINNELON RD STE KKinnelon, NJ 07405-2337
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735
Phone(973) 838-0200
Fax(973) 838-1614
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 8, 2017
Last NPPES UpdateSeptember 16, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1649783010 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
Licenses✔ Licensed in NJ · 26NJ00770200✔ Licensed in NJ · 26NR18567000
25 KINNELON RD STE K, Kinnelon, NJ 07405
Open in Google Maps ↗

Secondary Practice Location 1

Location 135 Ackerman AveClifton, NJ 07011-1501 · Phone (973) 519-5070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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

Daniel Arthur Fnp-c 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 ID2062773195
PECOS Enrollment IDI20180306000152
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

7

Medicare enrollment records show Daniel Arthur reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Josephs Medical Group PC
12 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000
Desjet LLC
15 mi
Personal Emergency Response Attendant
35 ACKERMAN AVENUE
Clifton, NJ 07011
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1346694114 (973) 928-2880
Valley Physician Services PC
16 mi
Internal Medicine
15 ESSEX RD
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 833 clinicians in this Medicare group
NPI 1467815928 (201) 291-6086
Practice Associates Medical Group
16 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250
Rwjbh Observation Associates LLC
17 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Am Pm Walk In Urgent Care Clinic
20 mi
Urgent Care
19 S WASHINGTON AVE
Bergenfield, NJ 07621
  • Reassigned Medicare billing, New Jersey enrollment
  • 17 clinicians in this Medicare group
NPI 1073853859 (201) 923-1177
Rwjbh Emergency Medicine Associates, LLC
33 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618

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 5

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.
166 services149 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services30 patients
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
24 services24 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07405 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.

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.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

DR. NEELAM SHARMA M.D
Obstetrics & Gynecology
25 KINNELON RD STE K
KINNELON, NJ 07405
Morris County (201) 416-4346
ANTOINETTE DEINGENIIS DO
Family Medicine
25 KINNELON RD STE K
KINNELON, NJ 07405
Morris County (973) 829-4080

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 Daniel Arthur's NPI number?

The NPI number for Daniel Arthur is 1649783010. It was assigned to this individual provider in the NPPES registry on November 8, 2017.

Where is Daniel Arthur located?

Daniel Arthur practices at 25 Kinnelon Rd Ste K, Kinnelon, NJ 07405. The listed phone number is (973) 838-0200.

What is Daniel Arthur's specialty?

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

Is Daniel Arthur enrolled in Medicare?

Yes. Daniel Arthur 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 Daniel Arthur's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Arthur reassigns Medicare benefits to 7 organizations: St Josephs Medical Group PC (Paterson, NJ), Desjet LLC (Clifton, NJ), Valley Physician Services PC (Paramus, NJ), Practice Associates Medical Group (Morristown, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and 2 more organizations, listed in the Medicare section above. 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 Daniel Arthur's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Arthur accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Daniel Arthur 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 Daniel Arthur affiliated with any hospitals?

According to CMS data, Daniel Arthur is affiliated with St Joseph's University Medical Center Inc and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Daniel Arthur was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.