GINA DOCTEUR-METELLUS
NPI 1972384964
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ
About Gina Docteur-metellus NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GINA DOCTEUR-METELLUS (NPI 1972384964) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ14926800) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Gina Docteur-metellus 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.
Medicare Billing Reassignments
3Medicare enrollment records show Gina Docteur-metellus reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Millburn, NJ 07041
- Reassigned Medicare billing, New Jersey enrollment
West Orange, NJ 07052
- Reassigned Medicare billing, New Jersey enrollment
- 757 clinicians in this Medicare group
Toms River, NJ 08753
- Reassigned Medicare billing, New Jersey enrollment
- 52 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Monmouth Medical Center
Acute Care Hospitals · Long Branch, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
NEWARK, NJ 07103
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 Gina Docteur-metellus's NPI number?
The NPI number for Gina Docteur-metellus is 1972384964. It was assigned to this individual provider in the NPPES registry on October 6, 2023.
Where is Gina Docteur-metellus located?
Gina Docteur-metellus practices at 150 Bergen St, Newark, NJ 07103. The listed phone number is (972) 972-4300.
What is Gina Docteur-metellus's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Gina Docteur-metellus enrolled in Medicare?
Yes. Gina Docteur-metellus 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 Gina Docteur-metellus's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gina Docteur-metellus reassigns Medicare benefits to 3 organizations: Pinnacle Behavior Health Inc (Millburn, NJ), Barnabas Health Medical Group, PC (West Orange, NJ) and Wagner Medical PC (Toms River, 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 Gina Docteur-metellus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Gina Docteur-metellus accept?
Health plans from Oscar Health list Gina Docteur-metellus 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 Gina Docteur-metellus affiliated with any hospitals?
According to CMS data, Gina Docteur-metellus is affiliated with Monmouth Medical Center.
When was this NPI record last updated?
The NPPES record for Gina Docteur-metellus was last updated on March 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.