MRS. KIERSTEN ILAOA
NPI 1710549431
Nurse Practitioner - Psychiatric/Mental Health in Marlton, NJ

Active since July 02, 2019PECOS Enrolled
765 ROUTE 70 E, MARLTON, NJ 08053(856) 983-3900 Get Directions Write a Review

NPPES record last updated: April 23, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2021, Feb 6, 2020, Jul 2, 2019 (3 updates tracked since 2019).

About Mrs. Kiersten Ilaoa NPPES

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

MRS. KIERSTEN ILAOA (NPI 1710549431) is an individual psychiatric/mental health provider in Marlton, New Jersey, licensed in New Jersey (26NJ00952100) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710549431
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KIERSTEN ILAOA
Location Address765 ROUTE 70 EMarlton, NJ 08053-2341
Mailing Address765 Route 70 EMarlton, NJ 08053-2341 · (856) 983-3900
Sole ProprietorYes
Enumeration DateJuly 2, 2019
Last NPPES UpdateApril 23, 20213 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
✔ NPI 1710549431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00952100
765 ROUTE 70 E, Marlton, NJ 08053

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kiersten Ilaoa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kiersten Ilaoa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geriatric Psychiatry
765 EAST ROUTE 70, BUILDING A
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 219 clinicians in this Medicare group

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 08053 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 8

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

Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E
MARLTON, NJ 08053
Counselor (Mental Health)
765 ROUTE 70 E
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E
MARLTON, NJ 08053
Psychologist (Clinical)
765 ROUTE 70 E
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E
MARLTON, NJ 08053
Nurse Practitioner (Psychiatric/Mental Health)
765 ROUTE 70 E
MARLTON, NJ 08053

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 Kiersten Ilaoa's NPI number?

The NPI number for Kiersten Ilaoa is 1710549431. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Where is Kiersten Ilaoa located?

Kiersten Ilaoa practices at 765 Route 70 E, Marlton, NJ 08053. The listed phone number is (856) 983-3900.

What is Kiersten Ilaoa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kiersten Ilaoa enrolled in Medicare?

Yes. Kiersten Ilaoa is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kiersten Ilaoa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiersten Ilaoa reassigns Medicare benefits to Center For Family Guidance, PC (Marlton, 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 Kiersten Ilaoa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kiersten Ilaoa was last updated on April 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.