ELYSE FEARON
NPI 1720896491
Nurse Practitioner - Gerontology in Bloomfield, NJ

Active since December 26, 2024PECOS EnrolledAccepts Medicare Assignment
382 W PASSAIC AVE, BLOOMFIELD, NJ 07003(973) 338-1900 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elyse Fearon NPPES

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

ELYSE FEARON (NPI 1720896491) is an individual gerontology provider in Bloomfield, New Jersey, licensed in New Jersey (26NJ15226200) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1720896491
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameELYSE FEARON
Location Address382 W PASSAIC AVEBloomfield, NJ 07003-5554
Mailing Address87 Union StCedar Grove, NJ 07009-1925 · (973) 908-5563
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 26, 2024
NPPES CertifiedDecember 26, 2024
NPI 1720896491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in NJ · 26NJ15226200
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ15226200 (NJ)
382 W PASSAIC AVE, Bloomfield, NJ 07003

Accepted Insurance

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

Elyse Fearon 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 ID7719416718
PECOS Enrollment IDI20250121000904
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.

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07003 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 10

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

Dentist (Pediatric Dentistry)
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Dentist (Orthodontics and Dentofacial Orthopedics)
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Physician Assistant
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Internal Medicine
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Non-Pharmacy Dispensing Site
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Dentist (Pediatric Dentistry)
382 W PASSAIC AVE, #2
BLOOMFIELD, NJ 07003
Dentist (Pediatric Dentistry)
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003
Internal Medicine
382 W PASSAIC AVE
BLOOMFIELD, NJ 07003

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 Elyse Fearon's NPI number?

The NPI number for Elyse Fearon is 1720896491. It was assigned to this individual provider in the NPPES registry on December 26, 2024.

Where is Elyse Fearon located?

Elyse Fearon practices at 382 W Passaic Ave, Bloomfield, NJ 07003. The listed phone number is (973) 338-1900.

What is Elyse Fearon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Elyse Fearon enrolled in Medicare?

Yes. Elyse Fearon 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.

What insurance does Elyse Fearon accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Elyse Fearon 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 Elyse Fearon affiliated with any hospitals?

According to CMS data, Elyse Fearon is affiliated with Clara Maass Medical Center.

When was this NPI record last updated?

The NPPES record for Elyse Fearon was last updated on December 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.