SHEILA KIVALI OLIRA NP
NPI 1952965543
Nurse Practitioner - Primary Care in Jackson, NJ

Active since April 29, 2019PECOS EnrolledAccepts Medicare Assignment
5 WINDSONG CT, JACKSON, NJ 08527(908) 531-3918 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sheila Kivali Olira Np NPPES

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

SHEILA KIVALI OLIRA NP (NPI 1952965543) is an individual primary care provider in Jackson, New Jersey, licensed in New Jersey (26NJ00909400) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952965543
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSHEILA KIVALI OLIRACredential: NP
Location Address5 WINDSONG CTJackson, NJ 08527-4081
Mailing Address5 Windsong CtJackson, NJ 08527-4081 · (908) 531-3918
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 29, 2019
✔ NPI 1952965543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NJ00909400
5 WINDSONG CT, Jackson, NJ 08527

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

Sheila Kivali Olira Np 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 ID7911331400
PECOS Enrollment IDI20191216001171
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

4

Medicare enrollment records show Sheila Olira reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
317 GEORGE ST, 1ST FLOOR
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 641 clinicians in this Medicare group
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
Hospitalist
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 351 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 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.

Hospital Affiliations CMS Care Compare 2

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08527 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 Sheila Olira's NPI number?

The NPI number for Sheila Olira is 1952965543. It was assigned to this individual provider in the NPPES registry on April 29, 2019.

Where is Sheila Olira located?

Sheila Olira practices at 5 Windsong Ct, Jackson, NJ 08527. The listed phone number is (908) 531-3918.

What is Sheila Olira's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sheila Olira enrolled in Medicare?

Yes. Sheila Olira 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 Sheila Olira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Olira reassigns Medicare benefits to 4 organizations: Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ), Robert Wood Johnson Medical Associates (New Brunswick, NJ), Hospitalist Physicians Of New Jersey PA (Edison, 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 Sheila Olira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Olira accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Sheila Olira 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 Sheila Olira affiliated with any hospitals?

According to CMS data, Sheila Olira is affiliated with Riverview Medical Center and Robert Wood Johnson University Hospital.

When was this NPI record last updated?

The NPPES record for Sheila Olira was last updated on April 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.