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DORIS LISETTE PLATERO FNP-C
NPI 1912488735
Nurse Practitioner - Family in Belleville, NJ

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
84.01/100
CMS Quality Rating
1 CLARA MAASS DR, BELLEVILLE, NJ 07109(973) 450-2000 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Doris Lisette Platero Fnp-c NPPES

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

DORIS LISETTE PLATERO FNP-C (NPI 1912488735) is an individual family provider in Belleville, New Jersey, licensed in New Jersey (26NJ00852600) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1912488735
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDORIS LISETTE PLATEROCredential: FNP-C
Location Address1 CLARA MAASS DRBelleville, NJ 07109-3550
Mailing Address339 New York AveClark, NJ 07066-1246 · (718) 316-0603
Phone(973) 450-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 29, 2018
✔ NPI 1912488735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00852600
1 CLARA MAASS DR, Belleville, NJ 07109
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Doris Lisette Platero Fnp-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.

PECOS PAC ID6507110442
PECOS Enrollment IDI20181113001976
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 Reassignments

3

Medicare enrollment records show Doris Platero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Observation Associates LLC
6.8 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
Rwjbh Emergency Medicine Associates, LLC
25 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Optum Medical Care Of New Jersey PC
26 mi
Pediatrics
1 DAKOTA DR
New Hyde Park, NY 11042
  • Reassigned Medicare billing, New Jersey enrollment
  • 417 clinicians in this Medicare group
NPI 1578665048 (516) 627-1811

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
172 services42 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
84 services84 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services19 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
16 services16 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services13 patients

Hospital Affiliations CMS Care Compare

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07109 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.

84.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.67
Promoting Interoperability98
Improvement Activities40
Cost76.48

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.

NORTHERN NEW JERSEY ANESTHESIA ASSOCIATES, LLC
Anesthesiology
1 CLARA MAASS DR
BELLEVILLE, NJ 07109
Essex County (908) 653-9399
ILONA KHASIN
Dietitian, Registered
1 CLARA MAASS DR
BELLEVILLE, NJ 07109
Essex County (973) 450-2268
RHEA COREEN LE BLANC APN
Nurse Practitioner (Critical Care Medicine)
1 CLARA MAASS DR
BELLEVILLE, NJ 07109
Essex County (973) 450-2156
CHELSEA BATELLI APN
Nurse Practitioner (Family)
1 CLARA MAASS DR
BELLEVILLE, NJ 07109
Essex County (973) 450-2000
DR. MARK ANTHONY LISTER M.D.
Ophthalmology
1 CLARA MAASS DR
BELLEVILLE, NJ 07109
Essex County (973) 844-1340
DR. CLARESE M CRENSHAW DNP, AGACNP-BC
Nurse Practitioner (Acute Care)
1 CLARA MAASS DR
BELLEVILLE, NJ 07109
Essex County (973) 450-2000
STEPHANIE C MCCARTHY R.N., A.P.N.
Nurse Practitioner (Adult Health)
1 CLARA MAASS DR
BELLEVILLE, NJ 07109
Essex County (973) 450-2000
KRISTI BARON C.R.N.A.
Nurse Anesthetist, Certified Registered
1 CLARA MAASS DR
BELLEVILLE, NJ 07109
Essex County (973) 450-2000

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 Doris Platero's NPI number?

The NPI number for Doris Platero is 1912488735. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Doris Platero located?

Doris Platero practices at 1 Clara Maass Dr, Belleville, NJ 07109. The listed phone number is (973) 450-2000.

What is Doris Platero's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Doris Platero enrolled in Medicare?

Yes. Doris Platero 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 organizations bill Medicare for Doris Platero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Doris Platero reassigns Medicare benefits to 3 organizations: Rwjbh Observation Associates LLC (Livingston, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Doris Platero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Doris Platero accept?

Health plans from Oscar Health list Doris Platero 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 Doris Platero affiliated with any hospitals?

According to CMS data, Doris Platero is affiliated with Clara Maass Medical Center.

When was this NPI record last updated?

The NPPES record for Doris Platero was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.