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

CLAUDIA MICHELLE BRAUER ORNELAS
NPI 1942678628
Internal Medicine - Nephrology in Wayne, NJ

Q: What is Claudia Brauer Ornelas's NPI number?

The NPI number for Claudia Brauer Ornelas is 1942678628. It was assigned to this individual provider in the NPPES registry on September 11, 2015.

Q: What is Claudia Brauer Ornelas's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since September 11, 2015PECOS EnrolledAccepts Medicare Assignment

246 HAMBURG TPKE STE 207, WAYNE, NJ 07470(973) 653-3366(973) 653-3365 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 28, 2026, May 5, 2026, Apr 14, 2026 and 6 more (9 updates tracked since 2018).

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About Claudia Michelle Brauer Ornelas NPPES

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

CLAUDIA MICHELLE BRAUER ORNELAS (NPI 1942678628) is an individual nephrology provider in Wayne, New Jersey, licensed in Ohio (35.134140) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942678628

Entity TypeIndividualFemale

Primary Taxonomy207RN0300X

Provider Legal NameCLAUDIA MICHELLE BRAUER ORNELAS

Location Address246 HAMBURG TPKE STE 207Wayne, NJ 07470-2160

Mailing Address401 Matthew St Dept OfMarietta, OH 45750-1635 · (740) 374-1400

Phone(973) 653-3366

Fax(973) 653-3365

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 11, 2015

Last NPPES UpdateSeptember 28, 20269 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1942678628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Licenses✔ Licensed in OH · 35.134140✔ Licensed in NJ · 25MA11767300

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

246 HAMBURG TPKE STE 207, Wayne, NJ 07470

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Secondary Practice Locations 2

Location 1799 Farson St Ste 212Belpre, OH 45714-1083 · Phone (740) 568-5228 · Fax (740) 568-5234

Location 2400 Matthew St Ste 100Marietta, OH 45750-1656 · Phone (740) 376-6113 · Fax (740) 376-6165

Accepted Insurance

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

Claudia Michelle Brauer Ornelas 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 ID8820349087

PECOS Enrollment IDI20180926004246, I20230721001374

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

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

North Jersey Nephrology Assoc. PA

Same address

Nephrology

246 HAMBURG TURNPIKE, SUITE#207
Wayne, NJ 07470

Reassigned Medicare billing, New Jersey enrollment
25 clinicians in this Medicare group

NPI 1801906896 (973) 653-3366

Marietta Memorial Hospital

374 mi

Rural Health

127 S MAIN ST
Woodsfield, OH 43793

Reassigned Medicare billing, Ohio enrollment
411 clinicians in this Medicare group

NPI 1962106328 (740) 472-1330

Selby General Hospital

397 mi

Critical Access

1106 COLEGATE DR
Marietta, OH 45750

Reassigned Medicare billing, Ohio enrollment
247 clinicians in this Medicare group

NPI 1124073465 (740) 568-2040

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 10

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.

531 services270 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.

137 services130 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.

60 services39 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

58 services28 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

47 services34 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

29 services23 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary's General Hospital

Acute Care Hospitals · Passaic, NJ

3/5 CMS rating

OwnershipProprietary

CMS Certification Number310006

Location350 BoulevardPassaic, NJ 07055 · Passaic County

Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310017

Location97 West ParkwayPompton Plains, NJ 07444 · Morris County

Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number360147

Location401 Matthew StreetMarietta, OH 45750 · Washington County

Emergency services Birthing friendly

Selby General Hospital

Critical Access Hospitals · Marietta, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361319

Location1106 Colegate DriveMarietta, OH 45750 · Washington County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

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.

Other Providers at the Same Location NPPES 10

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

ANURADHA R KONKESA MD

Internal Medicine (Nephrology)