Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since January 22, 2007PECOS Enrolled
93.71/100
CMS Quality Rating
99 HUDSON ST UNIT 4602, JERSEY CITY, NJ 07302(201) 706-7135 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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 Address99 HUDSON ST UNIT 4602Jersey City, NJ 07302-6695
Mailing Address99 Hudson St Unit 4602Jersey City, NJ 07302-6695 · (917) 478-7558
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 22, 2007
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ 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
99 HUDSON ST UNIT 4602, Jersey City, NJ 07302

Secondary Practice Location 1

Location 1395 Grand St, ACC Building 2nd FloorJersey City, NJ 07302-4238 · Phone (201) 915-2000 ext. 3274

Other Identifiers 1

Other1386268126NJ · Group Npi

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Adrian Fox reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 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 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
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.
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
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
99 HUDSON ST UNIT 4602
JERSEY CITY, NJ 07302
Counselor (Professional)
99 HUDSON ST UNIT 4602
JERSEY CITY, NJ 07302

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 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.

Where is Adrian Fox located?

Adrian Fox practices at 99 Hudson St Unit 4602, Jersey City, NJ 07302. The listed phone number is (201) 706-7135.

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.

Is Adrian Fox enrolled in Medicare?

Yes. Adrian Fox 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 Adrian Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adrian Fox reassigns Medicare benefits to Barnabas Health Medical Group, PC (West Orange, 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 Adrian Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adrian Fox accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Adrian Fox 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 Adrian Fox affiliated with any hospitals?

According to CMS data, Adrian Fox is affiliated with Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Adrian Fox was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.