MICAELA SANCHEZ
NPI 1811670441
Nurse Practitioner - Pediatrics in Newark, NJ
About Micaela Sanchez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICAELA SANCHEZ (NPI 1811670441) is an individual pediatrics provider in Newark, New Jersey, licensed in New Jersey (26NJ14893500) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Micaela Sanchez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Micaela Sanchez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- 1,913 clinicians in this Medicare group
Paramus, NJ 07652
- Reassigned Medicare billing, New Jersey enrollment
- 833 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 1,557 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 07112 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07112
NEWARK, NJ 07112
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 Micaela Sanchez's NPI number?
The NPI number for Micaela Sanchez is 1811670441. It was assigned to this individual provider in the NPPES registry on August 10, 2023.
Where is Micaela Sanchez located?
Micaela Sanchez practices at 201 Lyons Ave, Newark, NJ 07112. The listed phone number is (973) 926-7337.
What is Micaela Sanchez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Micaela Sanchez enrolled in Medicare?
Yes. Micaela Sanchez is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Micaela Sanchez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Micaela Sanchez reassigns Medicare benefits to 3 organizations: Rwjbh Observation Associates LLC (Livingston, NJ), Valley Physician Services PC (Paramus, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, 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 Micaela Sanchez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Micaela Sanchez accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Micaela Sanchez 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.
When was this NPI record last updated?
The NPPES record for Micaela Sanchez was last updated on August 10, 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.
# Micaela Sanchez · NPI 1811670441
Pediatrics physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since August 10, 2023.
## Identity
- **NPI:** 1811670441 (Entity type: Individual)
- **Enumerated:** August 10, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 26NJ14893500 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 LYONS AVE, Newark, NJ 07112-2027
- **Phone:** (973) 926-7337
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Rwjbh Observation Associates LLC (NPI 1760095806, Livingston, NJ); Valley Physician Services PC (NPI 1467815928, Paramus, NJ); Rwjbh Emergency Medicine Associates, LLC (NPI 1912510041, Somerset, NJ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1811670441) · Data from the CMS NPPES public registry.