JALICIA GRANT FNP-BC
NPI 1790173953
Nurse Practitioner - Family in East Orange, NJ
About Jalicia Grant Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JALICIA GRANT FNP-BC (NPI 1790173953) is an individual family provider in East Orange, New Jersey, licensed in New Jersey (26NJ14886900) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Jalicia Grant Fnp-bc 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jalicia Grant reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey enrollment
- 115 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey enrollment
- 90 clinicians in this Medicare group
Hackensack, NJ 07601
- Reassigned Medicare billing, New Jersey enrollment
- 90 clinicians in this Medicare group
Princeton, NJ 08540
- Reassigned Medicare billing, New Jersey enrollment
- 421 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 07018 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jalicia Grant's NPI number?
The NPI number for Jalicia Grant is 1790173953. It was assigned to this individual provider in the NPPES registry on December 22, 2014.
Where is Jalicia Grant located?
Jalicia Grant practices at 15 Wayne Ave, East Orange, NJ 07018. The listed phone number is (914) 490-5941.
What is Jalicia Grant's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jalicia Grant enrolled in Medicare?
Yes. Jalicia Grant 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 Jalicia Grant's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jalicia Grant reassigns Medicare benefits to 4 organizations: Ennoble Hc Nj PC (Hackensack, NJ), Ennoble Hc Nj II PC (Hackensack, NJ), Ennoble Hc Nj III PC (Hackensack, NJ) and Signify Health Medical Associates Of New Jersey, LLC (Princeton, 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 Jalicia Grant'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 Jalicia Grant was last updated on September 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jalicia Grant, FNP-BC · NPI 1790173953
Family physician in East Orange, New Jersey. Individual provider, active in the CMS NPPES registry since December 22, 2014.
## Identity
- **NPI:** 1790173953 (Entity type: Individual)
- **Enumerated:** December 22, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ14886900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 15 WAYNE AVE, East Orange, NJ 07018-1907
- **Phone:** (914) 490-5941
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Ennoble Hc Nj PC (NPI 1306500764, Hackensack, NJ); Ennoble Hc Nj II PC (NPI 1871475806, Hackensack, NJ); Ennoble Hc Nj III PC (NPI 1043192099, Hackensack, NJ); Signify Health Medical Associates Of New Jersey, LLC (NPI 1174187728, Princeton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1790173953) · Data from the CMS NPPES public registry.