MS. KRISTEN ENNIS FNP-C
NPI 1689006272
Nurse Practitioner - Family in Hackensack, NJ

Q: What is Kristen Ennis's NPI number?

The NPI number for Kristen Ennis is 1689006272. It was assigned to this individual provider in the NPPES registry on August 6, 2013.

Q: What is Kristen Ennis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristen Ennis was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 06, 2013PECOS EnrolledAccepts Medicare Assignment

75.8/100

CMS Quality Rating

30 PROSPECT AVE, HACKENSACK, NJ 07601(551) 996-4078(551) 996-4140 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2024, Aug 6, 2022, Jan 6, 2017 (3 updates tracked since 2017).

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About Ms. Kristen Ennis Fnp-c NPPES

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

MS. KRISTEN ENNIS FNP-C (NPI 1689006272) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00453200) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and maintains a secondary practice location in Neptune.

NPPES Registry Identity

NPI1689006272

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KRISTEN ENNISCredential: FNP-C

Location Address30 PROSPECT AVEHackensack, NJ 07601-1915

Mailing Address51 Woodcrest DrWoodcliff Lake, NJ 07677-7629 · (845) 304-4459

Phone(551) 996-4078

Fax(551) 996-4140

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateAugust 6, 2013

Last NPPES UpdateApril 11, 20243 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1689006272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ00453200

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00453200 (NJ)

30 PROSPECT AVE, Hackensack, NJ 07601

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Secondary Practice Location 1

Location 11945 Route 33Neptune, NJ 07753-4859 · Phone (732) 775-5500

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

Ms. Kristen Ennis 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 ID6103135975

PECOS Enrollment IDI20151016001872

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County

Emergency services Birthing friendly

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.

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.

75.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.65

Promoting Interoperability

100

Improvement Activities

Cost

50.69

Other Providers at the Same Location NPPES 20

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

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.

Obstetrics & Gynecology (Maternal & Fetal Medicine)