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SHRUTI BALWALLI-UDYAWER APN
NPI 1689182867
Nurse Practitioner in South River, NJ

Active since January 22, 2018PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
149 MAIN ST, SOUTH RIVER, NJ 08882(732) 238-6440(732) 651-1232 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 24, 2020, Feb 18, 2020, Feb 11, 2020 (3 updates tracked since 2020).

About Shruti Balwalli-udyawer Apn NPPES

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

SHRUTI BALWALLI-UDYAWER APN (NPI 1689182867) is an individual nurse practitioner in South River, New Jersey, licensed in New Jersey (26NJ00769400) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Edison.

NPPES Registry Identity

NPI1689182867
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHRUTI BALWALLI-UDYAWERCredential: APN
Location Address149 MAIN STSouth River, NJ 08882-1232
Mailing Address111 James StEdison, NJ 08820-3967 · (732) 452-9700 · Fax (732) 452-9720
Phone(732) 238-6440
Fax(732) 651-1232
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 22, 2018
Last NPPES UpdateFebruary 24, 20203 updates tracked since enumeration
✔ NPI 1689182867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00769400
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
149 MAIN ST, South River, NJ 08882
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Secondary Practice Location 1

Location 1111 James StEdison, NJ 08820-3967 · Phone (732) 452-9700 · Fax (732) 452-9720

Other Identifiers 1

Other26NJ00769400NJ · License

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

Shruti Balwalli-udyawer Apn 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 ID9335400118
PECOS Enrollment IDI20180220000701
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 Shruti Balwalli-udyawer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Primary Care PC
17 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
17 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
Hackensack Meridian Urgent Care Plus PC
26 mi
Urgent Care
5 MARINE VIEW PLZ STE 101
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 38 clinicians in this Medicare group
NPI 1396858874 (848) 308-4612

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
80 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08882 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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MS. GLENDA L. MATHEW NP
Nurse Practitioner
149 MAIN ST
SOUTH RIVER, NJ 08882
Middlesex County (732) 238-6440

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 Shruti Balwalli-udyawer's NPI number?

The NPI number for Shruti Balwalli-udyawer is 1689182867. It was assigned to this individual provider in the NPPES registry on January 22, 2018.

Where is Shruti Balwalli-udyawer located?

Shruti Balwalli-udyawer practices at 149 Main St, South River, NJ 08882. The listed phone number is (732) 238-6440.

What is Shruti Balwalli-udyawer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shruti Balwalli-udyawer enrolled in Medicare?

Yes. Shruti Balwalli-udyawer 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 Shruti Balwalli-udyawer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shruti Balwalli-udyawer reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Hackensack Meridian Urgent Care Plus PC (Hoboken, 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 Shruti Balwalli-udyawer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shruti Balwalli-udyawer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Shruti Balwalli-udyawer 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 Shruti Balwalli-udyawer affiliated with any hospitals?

According to CMS data, Shruti Balwalli-udyawer is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Shruti Balwalli-udyawer was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.