PAULO JUAN BAGAYAS VERDEFLOR APN
Accepted Insurance for NPI 1831537372
Nurse Practitioner - Adult Health in Trenton, NJ

Active since June 06, 2013PECOS EnrolledAccepts Medicare Assignment
2401 STUYVESANT AVE, TRENTON, NJ 08628(609) 984-6000 Get Directions

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Paulo Juan Verdeflor take my insurance?

Oscar Health includes Paulo Juan Verdeflor in 7 New Jersey plans sold on Get Covered New Jersey for 2026, all on its Individual New Jersey network. Blue Cross and Blue Shield of NC also lists Paulo Juan Verdeflor in North Carolina.

Call before you book: insurer directories can be out of date, so call the office at (609) 984-6000 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

52 plans · 106 plan IDs · 2026 plan year

New Jersey plans 7 plans

Plans sold to New Jersey residents. Costs are for the standard version of each plan.

Oscar Health

7 plans · EPO
Accepting new patients
Gold Classic PCP SaverEPOGold$2,00023818NJ0010007
Silver Classic Saver PlusEPOSilver$50023818NJ0010008
Silver Elite PlusEPOSilver$1,60023818NJ0010029
Silver Simple PCP SaverEPOSilver$2,50023818NJ0010009
Silver ClassicEPOSilver$2,70023818NJ0010002
Silver SimpleEPOSilver$2,80023818NJ0010003
Bronze ClassicEPOExpanded Bronze$3,30023818NJ0010001

Also listed in other states 45 plans · 99 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 NC · North Carolina

45 plans · PPO, HMO, EPO, POS
Accepting new patientsDeductible $1,800 to $8,500
PPO Blue Advantage/Options network · 9 plans · PPO tier
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide DoctorsPPOGold$1,80011512NC0060018
Blue Advantage Gold Standard A | Nationwide DoctorsPPOGold$2,00011512NC0060050
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide DoctorsPPOSilver$2,80011512NC0060002
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide DoctorsPPOSilver$3,00011512NC0060028
Blue Advantage Silver Standard | Nationwide DoctorsPPOSilver$6,00011512NC0060051
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide DoctorsPPOExpanded Bronze$4,00011512NC0060031
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide DoctorsPPOExpanded Bronze$7,00011512NC0060004
Blue Advantage Bronze Standard | Nationwide DoctorsPPOExpanded Bronze$7,50011512NC0060052
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide DoctorsPPOExpanded Bronze$8,50011512NC0060059
HMO Blue Care network · 9 plans · HMO tier
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide DoctorsHMOGold$1,80011512NC0430004
Blue Care Gold Standard A | Statewide DoctorsHMOGold$2,00011512NC0430001
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide DoctorsHMOSilver$2,80011512NC0430005
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide DoctorsHMOSilver$3,00011512NC0430007
Blue Care Silver Standard | Statewide DoctorsHMOSilver$6,00011512NC0430002
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide DoctorsHMOExpanded Bronze$4,00011512NC0430008
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide DoctorsHMOExpanded Bronze$7,00011512NC0430009
Blue Care Bronze Standard | Statewide DoctorsHMOExpanded Bronze$7,50011512NC0430003
Blue Care Bronze HSA Eligible | Integrated | Statewide DoctorsHMOExpanded Bronze$8,50011512NC0430010
EPO Blue Home UNCHA network · 9 plans · EPO tier
Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with UNC Health AllianceEPOGold$1,80011512NC0390001
Blue Home Gold Standard A | with UNC Health AllianceEPOGold$2,00011512NC0390004
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health AllianceEPOSilver$2,80011512NC0390013
Blue Home Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | with UNC Health AllianceEPOSilver$3,00011512NC0390022
Blue Home Silver Standard | with UNC Health AllianceEPOSilver$6,00011512NC0390025
Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health AllianceEPOExpanded Bronze$4,00011512NC0390028
Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health AllianceEPOExpanded Bronze$7,00011512NC0390031
Blue Home Bronze Standard | with UNC Health AllianceEPOExpanded Bronze$7,50011512NC0390034
Blue Home Bronze HSA Eligible | Integrated | with UNC Health AllianceEPOExpanded Bronze$8,50011512NC0390046
EPO Blue Local Atrium network · 9 plans · EPO tier
Blue Local Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Atrium HealthEPOGold$1,80011512NC0410001
Blue Local Gold Standard A | with Atrium HealthEPOGold$2,00011512NC0410002
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium HealthEPOSilver$2,80011512NC0410005
Blue Local Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | with Atrium HealthEPOSilver$3,00011512NC0410008
Blue Local Silver Standard | with Atrium HealthEPOSilver$6,00011512NC0410010
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium HealthEPOExpanded Bronze$4,00011512NC0410009
Blue Local Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Atrium HealthEPOExpanded Bronze$7,00011512NC0410011
Blue Local Bronze Standard | with Atrium HealthEPOExpanded Bronze$7,50011512NC0410012
Blue Local Bronze HSA Eligible | Integrated | with Atrium HealthEPOExpanded Bronze$8,50011512NC0410061
POS Blue Value network · 9 plans · POS tier
Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide DoctorsPOSGold$1,80011512NC0100009
Blue Value Gold Standard A | Limited Statewide DoctorsPOSGold$2,00011512NC0100072
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide DoctorsPOSSilver$2,80011512NC0100064
Blue Value Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide DoctorsPOSSilver$3,00011512NC0100011
Blue Value Silver Standard | Limited Statewide DoctorsPOSSilver$6,00011512NC0100073
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide DoctorsPOSExpanded Bronze$4,00011512NC0100012
Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide DoctorsPOSExpanded Bronze$7,00011512NC0100070
Blue Value Bronze Standard | Limited Statewide DoctorsPOSExpanded Bronze$7,50011512NC0100074
Blue Value Bronze HSA Eligible | Integrated | Limited Statewide DoctorsPOSExpanded Bronze$8,50011512NC0100079

Questions about Paulo Juan Verdeflor’s insurance

Does Paulo Juan Verdeflor take Oscar Health?

For New Jersey Marketplace plans, yes: Oscar Health includes Paulo Juan Verdeflor in 7 plans for 2026. Call the office at (609) 984-6000 to confirm your plan before booking.

Is Paulo Juan Verdeflor accepting new patients?

The insurers that list Paulo Juan Verdeflor report that Paulo Juan Verdeflor is accepting new patients. Call the office at (609) 984-6000 to confirm your plan before booking.

Do I need a referral to see Paulo Juan Verdeflor?

Not under the New Jersey plans that list Paulo Juan Verdeflor: the 2026 plan files say a specialist referral is not required.

Does Paulo Juan Verdeflor accept Medicare?

Yes. CMS files show Paulo Juan Verdeflor accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

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.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Blue Cross and Blue Shield of NC: Oct 15, 2026
Oscar Health: Oct 15, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here New Jersey. No document links.Plan year 2026, Jun 3, 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.