TATIANA VALDERRAMA APN-C
NPI 1831423052
Nurse Practitioner in Newark, NJ
About Tatiana Valderrama Apn-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TATIANA VALDERRAMA APN-C (NPI 1831423052) is an individual nurse practitioner in Newark, New Jersey, licensed in New Jersey (26NJ00206200) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (2008).
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 and accepts Medicare assignment
Tatiana Valderrama Apn-c 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 Reassignment
Medicare enrollment records show Tatiana Valderrama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Long Beach, NJ 07764
- Reassigned Medicare billing, New Jersey enrollment
- 406 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Englewood Hospital And Medical Center
Acute Care Hospitals · Englewood, NJPhysician 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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Tatiana Valderrama's NPI number?
The NPI number for Tatiana Valderrama is 1831423052. It was assigned to this individual provider in the NPPES registry on September 21, 2009.
Where is Tatiana Valderrama located?
Tatiana Valderrama practices at 201 Lyons Ave L4, Newark, NJ 07112. The listed phone number is (973) 926-7205.
What is Tatiana Valderrama's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tatiana Valderrama enrolled in Medicare?
Yes. Tatiana Valderrama 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 organization bills Medicare for Tatiana Valderrama's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tatiana Valderrama reassigns Medicare benefits to Allied Digestive Health, LLC (West Long Beach, 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 Tatiana Valderrama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tatiana Valderrama accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Tatiana Valderrama 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 Tatiana Valderrama affiliated with any hospitals?
According to CMS data, Tatiana Valderrama is affiliated with Englewood Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Tatiana Valderrama was last updated on April 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Tatiana Valderrama, APN-C · NPI 1831423052
Nurse Practitioner physician in Newark, New Jersey. Individual provider, active in the CMS NPPES registry since September 21, 2009.
## Identity
- **NPI:** 1831423052 (Entity type: Individual)
- **Enumerated:** September 21, 2009
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 26NJ00206200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 201 LYONS AVE, L4, Newark, NJ 07112-2027
- **Phone:** (973) 926-7205 · **Fax:** (973) 923-8993
## 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:** Allied Digestive Health, LLC (NPI 1265831259, West Long Beach, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 20, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1831423052) · Data from the CMS NPPES public registry.