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IRINA GUSEVA
NPI 1972006971
Nurse Practitioner - Acute Care in Oakhurst, NJ

Active since March 15, 2018PECOS Enrolled
267 GARFIELD AVE, OAKHURST, NJ 07755(732) 233-8927 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Irina Guseva NPPES

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

IRINA GUSEVA (NPI 1972006971) is an individual acute care provider in Oakhurst, New Jersey, licensed in New Jersey (26NJ00808500) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972006971
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameIRINA GUSEVA
Location Address267 GARFIELD AVEOakhurst, NJ 07755-1732
Mailing Address267 Garfield AveOakhurst, NJ 07755-1732 · (732) 233-8927
Phone(732) 233-8927
Sole ProprietorNo
Enumeration DateMarch 15, 2018
✔ NPI 1972006971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ00808500
267 GARFIELD AVE, Oakhurst, NJ 07755
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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 (PECOS)

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

Robert Wood Johnson Medical Associates
28 mi
Hospitalist
1 ROBERT WOOD JOHNSON PL
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1902848625 (732) 235-7840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07755 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 Irina Guseva's NPI number?

The NPI number for Irina Guseva is 1972006971. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Irina Guseva located?

Irina Guseva practices at 267 Garfield Ave, Oakhurst, NJ 07755. The listed phone number is (732) 233-8927.

What is Irina Guseva's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Irina Guseva enrolled in Medicare?

Yes. Irina Guseva is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Irina Guseva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irina Guseva reassigns Medicare benefits to Robert Wood Johnson Medical Associates (New Brunswick, 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 Irina Guseva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Irina Guseva accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Irina Guseva 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 Irina Guseva was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.