LUCENA SARMIENTO APN
Accepted Insurance for NPI 1750500310
Nurse Practitioner in Paterson, NJ
Active since April 24, 2007PECOS Enrolled
Does Lucena Sarmiento take my insurance?
No New Jersey Marketplace plan lists Lucena Sarmiento. Insurers include Lucena Sarmiento in 69 plans sold in Texas.
Listed inTexas
Call before you book: insurer directories can be out of date, so call the office at (973) 754-3572 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.
No plans match your search or filters.
Listed in other states 69 plans · 667 plan IDs · 1 state
Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.
Blue Cross and Blue Shield of Texas · Texas
Blue Advantage network · 19 plans · Blue Advantage HMO tier
Blue Advantage Gold HMO℠ 206HMOGold$55033602TX0460548
Blue Advantage Gold HMO℠ 603HMOGold$1,00033602TX0460809
Blue Advantage Plus Gold℠ 203POSGold$1,70033602TX0870005
Blue Advantage Gold HMO℠ StandardHMOGold$2,00033602TX0460925
Blue Advantage Plus Gold℠ StandardPOSGold$2,00033602TX0870006
Blue Advantage Plus Gold℠ 803POSGold$2,40033602TX0870011
Blue Advantage Plus Silver℠ 605POSSilver$033602TX0870009
Blue Advantage Plus Silver℠ 202POSSilver$1,25033602TX0870007
Blue Advantage Silver HMO℠ 205HMOSilver$1,45033602TX0460553
Blue Advantage Silver HMO℠ 801HMOSilver$4,00033602TX0461083
Blue Advantage Plus Silver℠ StandardPOSSilver$6,00033602TX0870010
Blue Advantage Silver HMO℠ StandardHMOSilver$6,00033602TX0460926
Blue Advantage Plus Bronze℠ 305POSBronze$7,30033602TX0870003
Blue Advantage Bronze HMO℠ 301HMOBronze$10,60033602TX0460782
Blue Advantage Bronze HMO℠ 204HMOExpanded Bronze$6,00033602TX0460554
Blue Advantage Plus Bronze℠ 303POSExpanded Bronze$7,00033602TX0870002
Blue Advantage Bronze HMO℠ StandardHMOExpanded Bronze$7,50033602TX0461033
Blue Advantage Plus Bronze℠ StandardPOSExpanded Bronze$7,50033602TX0870004
Blue Advantage Security HMO℠ 200HMOCatastrophic$10,60033602TX0460552
MyBlue Health network · 6 plans · Myblue Health tier
MyBlue Health Gold℠ 403HMOGold$50033602TX0461081
MyBlue Health Gold℠ StandardHMOGold$2,00033602TX0461088
MyBlue Health Silver℠ 405HMOSilver$1,50033602TX0461082
MyBlue Health Silver℠ StandardHMOSilver$6,00033602TX0461089
MyBlue Health Bronze℠ 402HMOExpanded Bronze$5,00033602TX0461080
MyBlue Health Bronze℠ StandardHMOExpanded Bronze$7,50033602TX0461087
Oscar Health · Texas
Individual Texas EPO network · 12 plans · Preferred tier
Gold EliteEPOGold$1,20020069TX0100056
Gold Classic StandardEPOGold$2,00020069TX0100053
Gold ClassicEPOGold$2,50020069TX0100055
Silver ClassicEPOSilver$5,50020069TX0100006
Silver Simple PCP SaverEPOSilver$5,75020069TX0100025
Silver Classic StandardEPOSilver$6,00020069TX0100052
Bronze Elite + PCP Saver PlusEPOExpanded Bronze$020069TX0100005
Bronze Classic 4700EPOExpanded Bronze$4,70020069TX0100024
Bronze Simple Chronic Care CKMEPOExpanded Bronze$5,50020069TX0100059
Bronze Simple DiabetesEPOExpanded Bronze$5,50020069TX0100068
Bronze Classic StandardEPOExpanded Bronze$7,50020069TX0100050
Bronze Simple Breathe Easy with Enhanced COPD BenefitsEPOExpanded Bronze$9,00020069TX0100064
Individual Texas HMO network · 11 plans · Preferred tier
Gold Classic Standard Guided CareHMOGold$2,00020069TX0510032
Gold Simple Diabetes Guided CareHMOGold$2,00020069TX0510037
Gold Classic Guided CareHMOGold$2,50020069TX0510020
Gold Simple Guided CareHMOGold$3,30020069TX0510021
Silver Simple PCP Saver Guided CareHMOSilver$5,75020069TX0510011
Silver Simple Chronic Care CKM Guided CareHMOSilver$5,90020069TX0510012
Silver Classic Standard Guided CareHMOSilver$6,00020069TX0510031
Silver Simple Women's Health with Menopause Benefits Guided CareHMOSilver$6,00020069TX0510008
Silver Simple Breathe Easy with Enhanced COPD Benefits Guided CareHMOSilver$6,20020069TX0510001
Silver Simple Guided CareHMOSilver$6,30020069TX0510010
Silver Simple Diabetes Guided CareHMOSilver$6,50020069TX0510013
WellPoint · Texas
Wellpoint Texas Essential and RX Choice Tiered Network · 13 plans · Participating tier
Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$70047501TX0030007
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$80047501TX0040009
Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00047501TX0030005
Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$1,50047501TX0040007
Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$1,85047501TX0040011
Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$2,50047501TX0030008
Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$3,50047501TX0040012
Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$4,00047501TX0030009
Wellpoint Essential Bronze 4000 HSA (+ Incentives)HMOExpanded Bronze$4,00047501TX0040002
Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$4,50047501TX0030003
Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$5,50047501TX0030002
Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$6,00047501TX0040004
Wellpoint Essential Catastrophic (+ Incentives)HMOCatastrophic$10,60047501TX0040006
Wellpoint Texas Essential and Pharmacy Base Network · 6 plans · Participating tier
Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,00047501TX0040008
Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00047501TX0030006
Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$6,00047501TX0040013
Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00047501TX0030001
Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$7,50047501TX0040005
Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50047501TX0030004
Wellpoint Texas Essential, Dental Prime, and RX Choice Tiered Network · 2 plans · Participating tier
Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$3,50047501TX0040010
Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs)HMOExpanded Bronze$6,00047501TX0040003
Questions about Lucena Sarmiento’s insurance
What insurance does Lucena Sarmiento take?
No New Jersey Marketplace plan lists Lucena Sarmiento. Blue Cross and Blue Shield of Texas, Oscar Health and WellPoint include Lucena Sarmiento in 69 plans sold in Texas. Call the office at (973) 754-3572 to confirm your plan before booking.
Is Lucena Sarmiento accepting new patients?
The insurers that list Lucena Sarmiento report that Lucena Sarmiento is accepting new patients. Call the office at (973) 754-3572 to confirm your plan before booking.
Does Lucena Sarmiento accept Medicare?
CMS files show a PECOS enrollment but no Medicare assignment indicator. Ask the office.
About this data
This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.
| Source | What it provides here | Source date |
|---|---|---|
| Insurer provider directory files | Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules. | WellPoint: Oct 15, 2026 Oscar Health: Oct 15, 2026 Blue Cross and Blue Shield of Texas: Oct 13, 2026 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2026 |
- Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
- Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
- Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
- Networks change during the year. Confirm with your insurer or the practice before booking.
