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DAWN M STARBINSKI APRN, FNP, MSN, CLC
NPI 1932879194
Nurse Practitioner - Family in Paterson, NJ

Active since September 17, 2021PECOS Enrolled
145 PRESIDENTIAL BLVD, PATERSON, NJ 07522(973) 922-1000 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 17, 2023, Jan 16, 2023, Nov 10, 2021 and 1 more (4 updates tracked since 2021).

About Dawn M Starbinski Aprn, Fnp, Msn, Clc NPPES

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

DAWN M STARBINSKI APRN, FNP, MSN, CLC (NPI 1932879194) is an individual family provider in Paterson, New Jersey, licensed in New Jersey (26NJ01228500) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932879194
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDAWN M STARBINSKICredential: APRN, FNP, MSN, CLC
Location Address145 PRESIDENTIAL BLVDPaterson, NJ 07522-2173
Mailing Address145 Presidential BlvdPaterson, NJ 07522-2173 · (973) 922-1000
Phone(973) 922-1000
Sole ProprietorYes
Enumeration DateSeptember 17, 2021
Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1932879194 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 · 26NJ01228500
145 PRESIDENTIAL BLVD, Paterson, NJ 07522
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 (PECOS)

Dawn M Starbinski Aprn, Fnp, Msn, Clc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Dawn Starbinski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bmg East Orange LLC
11 mi
Urgent Care
200 FREEWAY DR E STE 305
East Orange, NJ 07018
  • Reassigned Medicare billing, New Jersey enrollment
  • 16 clinicians in this Medicare group
NPI 1659882082 (973) 370-4000

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.

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.
32 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07522 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.

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 Dawn Starbinski's NPI number?

The NPI number for Dawn Starbinski is 1932879194. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Dawn Starbinski located?

Dawn Starbinski practices at 145 Presidential Blvd, Paterson, NJ 07522. The listed phone number is (973) 922-1000.

What is Dawn Starbinski's specialty?

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

Is Dawn Starbinski enrolled in Medicare?

Yes. Dawn Starbinski is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dawn Starbinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dawn Starbinski reassigns Medicare benefits to Bmg East Orange LLC (East 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 Dawn Starbinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dawn Starbinski accept?

Health plans from Oscar Health list Dawn Starbinski 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.

When was this NPI record last updated?

The NPPES record for Dawn Starbinski was last updated on October 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.