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JAMIE ALISON SEMBRANO APN
NPI 1669338828
Nurse Practitioner - Pediatrics in Hackensack, NJ

Active since January 01, 2026PECOS Enrolled
30 PROSPECT AVE FL 3, HACKENSACK, NJ 07601(551) 996-5207(551) 996-4969 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2026, Jan 1, 2026 (2 updates tracked since 2026).

About Jamie Alison Sembrano Apn NPPES

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

JAMIE ALISON SEMBRANO APN (NPI 1669338828) is an individual pediatrics provider in Hackensack, New Jersey, licensed in New Jersey (26NJ15480800) and active in the NPI registry since January 2026. The provider is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669338828
Entity TypeIndividual
Primary Taxonomy363LP0200X
Provider Legal NameJAMIE ALISON SEMBRANOCredential: APN
Location Address30 PROSPECT AVE FL 3Hackensack, NJ 07601-1915
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Phone(551) 996-5207
Fax(551) 996-4969
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 1, 2026
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1669338828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NJ · 26NJ15480800
30 PROSPECT AVE FL 3, Hackensack, NJ 07601
Open in Google Maps ↗

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 (PECOS)

Jamie Alison Sembrano Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719465830
PECOS Enrollment IDI20260130001279
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 Reassignment

Medicare enrollment records show Jamie Alison Sembrano reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
38 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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.

MRS. KIMBERLY JOY RUIZ APN
Nurse Practitioner (Pediatrics)
30 PROSPECT AVE FL 3
HACKENSACK, NJ 07601
Bergen County (551) 996-5329
STEFANIE JASKOT RDN, CDCES
Dietitian, Registered
30 PROSPECT AVE FL 3
HACKENSACK, NJ 07601
Bergen County (551) 996-2000
DR. GREGORY STEPHEN SUGALSKI M.D.
Emergency Medicine
30 PROSPECT AVE FL 3
HACKENSACK, NJ 07601
Bergen County (551) 996-3547

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 Jamie Alison Sembrano's NPI number?

The NPI number for Jamie Alison Sembrano is 1669338828. It was assigned to this individual provider in the NPPES registry on January 1, 2026.

Where is Jamie Alison Sembrano located?

Jamie Alison Sembrano practices at 30 Prospect Ave Fl 3, Hackensack, NJ 07601. The listed phone number is (551) 996-5207.

What is Jamie Alison Sembrano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jamie Alison Sembrano enrolled in Medicare?

Yes. Jamie Alison Sembrano is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jamie Alison Sembrano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jamie Alison Sembrano reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Jamie Alison Sembrano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jamie Alison Sembrano accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Jamie Alison Sembrano 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 Jamie Alison Sembrano was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.