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KRISTINE M PRITSIOLAS ANP-BC
NPI 1932348596
Nurse Practitioner - Adult Health in Livingston, NJ

Active since February 05, 2009PECOS EnrolledAccepts Medicare Assignment
13 PEBBLE BEACH DR, LIVINGSTON, NJ 07039(973) 251-2082 Get Directions Write a Review

NPPES record last updated: February 5, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kristine M Pritsiolas Anp-bc NPPES

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

KRISTINE M PRITSIOLAS ANP-BC (NPI 1932348596) is an individual adult health provider in Livingston, New Jersey, licensed in New Jersey (26NJ00176800) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1932348596
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKRISTINE M PRITSIOLASCredential: ANP-BC
Location Address13 PEBBLE BEACH DRLivingston, NJ 07039-8206
Mailing Address13 Pebble Beach DrLivingston, NJ 07039-8206 · (973) 251-2082
Phone(973) 251-2082
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 5, 2009
✔ NPI 1932348596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00176800
13 PEBBLE BEACH DR, Livingston, NJ 07039
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Accepted Insurance

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

Kristine M Pritsiolas Anp-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 ID2668658600
PECOS Enrollment IDI20110509000755
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

5

Medicare enrollment records show Kristine Pritsiolas reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Salerno Medical Associates, LLC
7.6 mi
Internal Medicine
613 PARK AVE FL 2
East Orange, NJ 07017
  • Reassigned Medicare billing, New Jersey enrollment
  • 81 clinicians in this Medicare group
NPI 1184766107 (973) 672-8573
Sm Medical, LLC
9.0 mi
Internal Medicine
135 BLOOMFIELD AVE, SUITE F
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 18 clinicians in this Medicare group
NPI 1932562907 (862) 213-0033
Barnabas Health Medical Group PC
12 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Garden State Healthcare Associates, LLC
16 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
Rwjbh Emergency Medicine Associates, LLC
20 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

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 3

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 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.
45 services30 patients
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.
40 services27 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.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$46.88 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$25.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kristine Pritsiolas's NPI number?

The NPI number for Kristine Pritsiolas is 1932348596. It was assigned to this individual provider in the NPPES registry on February 5, 2009.

Where is Kristine Pritsiolas located?

Kristine Pritsiolas practices at 13 Pebble Beach Dr, Livingston, NJ 07039. The listed phone number is (973) 251-2082.

What is Kristine Pritsiolas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kristine Pritsiolas enrolled in Medicare?

Yes. Kristine Pritsiolas 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 Kristine Pritsiolas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Pritsiolas reassigns Medicare benefits to 5 organizations: Salerno Medical Associates, LLC (East Orange, NJ), Sm Medical, LLC (Bloomfield, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ). 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 Kristine Pritsiolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristine Pritsiolas accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kristine Pritsiolas 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 Kristine Pritsiolas affiliated with any hospitals?

According to CMS data, Kristine Pritsiolas is affiliated with Robert Wood Johnson University Hospital At Rahway.

When was this NPI record last updated?

The NPPES record for Kristine Pritsiolas was last updated on February 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.