DENISE LYNAM
NPI 1962166231
Nurse Practitioner - Psychiatric/Mental Health in Fairfield, NJ

Active since October 23, 2021PECOS EnrolledAccepts Medicare Assignment
86.42/100
CMS Quality Rating
165 PASSAIC AVE STE 200, FAIRFIELD, NJ 07004(800) 413-8020 Get Directions Write a Review

NPPES record last updated: February 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2026, Sep 8, 2025, May 12, 2022 and 2 more (5 updates tracked since 2021).

About Denise Lynam NPPES

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

DENISE LYNAM (NPI 1962166231) is an individual psychiatric/mental health provider in Fairfield, New Jersey, licensed in New Jersey (26NJ01198900) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962166231
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDENISE LYNAM
Location Address165 PASSAIC AVE STE 200Fairfield, NJ 07004-3526
Mailing Address165 Passaic Ave Ste 200Fairfield, NJ 07004-3526 · (800) 413-8020
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 23, 2021
Last NPPES UpdateFebruary 5, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2026
NPI 1962166231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NJ · 26NJ01198900
165 PASSAIC AVE STE 200, Fairfield, NJ 07004

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Denise Lynam 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 ID1951793132
PECOS Enrollment IDI20220120001072
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.

Areas of Expertise CMS Part B claims 6

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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
314 services44 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
110 services29 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
82 services37 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services20 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
13 services12 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07004 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.

86.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.04
Promoting Interoperability82
Improvement Activities40
Cost91.69

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Psychiatric/Mental Health)
165 PASSAIC AVE STE 200
FAIRFIELD, NJ 07004
Nurse Practitioner (Psychiatric/Mental Health)
165 PASSAIC AVE STE 200
FAIRFIELD, NJ 07004
Social Worker (Clinical)
165 PASSAIC AVE STE 200
FAIRFIELD, NJ 07004
Counselor (Professional)
165 PASSAIC AVE STE 200
FAIRFIELD, NJ 07004
Social Worker (Clinical)
165 PASSAIC AVE STE 200
FAIRFIELD, NJ 07004

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 Denise Lynam's NPI number?

The NPI number for Denise Lynam is 1962166231. It was assigned to this individual provider in the NPPES registry on October 23, 2021.

Where is Denise Lynam located?

Denise Lynam practices at 165 Passaic Ave Ste 200, Fairfield, NJ 07004. The listed phone number is (800) 413-8020.

What is Denise Lynam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Denise Lynam enrolled in Medicare?

Yes. Denise Lynam 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.

When was this NPI record last updated?

The NPPES record for Denise Lynam was last updated on February 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.