ADRIAN LANCELOT FOX APRN,BC
NPI 1871647461
Nurse Practitioner - Psychiatric/Mental Health in Jersey City, NJ

Q: What is Adrian Fox's NPI number?

The NPI number for Adrian Fox is 1871647461. It was assigned to this individual provider in the NPPES registry on January 22, 2007.

Q: What is Adrian Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Adrian Fox was last updated on June 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 22, 2007PECOS EnrolledAccepts Medicare Assignment

93.71/100

CMS Quality Rating

395 GRAND ST, ACC BUILDING 2ND FLOOR, JERSEY CITY, NJ 07302(201) 915-2000 Get Directions Write a Review

NPPES record last updated: June 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Adrian Lancelot Fox Aprn,bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADRIAN LANCELOT FOX APRN,BC (NPI 1871647461) is an individual psychiatric/mental health provider in Jersey City, New Jersey, licensed in New Jersey (26NJ00022900) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Jersey City Medical Center, and maintains a secondary practice location in Jersey City.

NPPES Registry Identity

NPI1871647461

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameADRIAN LANCELOT FOXCredential: APRN,BC

Location Address395 GRAND ST, ACC BUILDING 2ND FLOORJersey City, NJ 07302-4238

Mailing Address300 Newark St Apt 5fHoboken, NJ 07030-2448 · (917) 478-7558

Phone(201) 915-2000

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateJanuary 22, 2007

Last NPPES UpdateJune 16, 2020

NPPES CertifiedJune 16, 2020

✔ NPI 1871647461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NJ · 26NJ00022900

395 GRAND ST, Jersey City, NJ 07302

Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 Hudson St Fl 21Jersey City, NJ 07302-3929 · Phone (201) 706-7135

Other Identifiers 1

Other1386268126NJ · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adrian Lancelot Fox Aprn,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.

PECOS PAC ID2769798875

PECOS Enrollment IDI20150904000274

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

624 services120 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

133 services70 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

27 services11 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

16 services16 patients

Psychiatric diagnostic evaluation with medical services 90792

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310074

Location355 Grand StreetJersey City, NJ 07302 · Hudson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07302 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

93.71/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

77.79

Promoting Interoperability

100

Improvement Activities

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.

DR. RITU CHANDAK M.D

Psychiatry & Neurology (Psychiatry)