Miss Shelly Clavis, RN, MSN, NP-C, FNP - Medicare Nurse Practitioner in Hillside, NJ

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Miss Shelly Clavis, RN, MSN, NP-C, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hillside, New Jersey. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Rutgers Health-rwj Scleroderma Program and her current practice location is 403 Hollywood Ave, Hillside, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 760-0707.

Miss Shelly Clavis is licensed to practice in New Jersey (license number 26NJ00402800) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740524909.

Contact Information

Miss Shelly Clavis, RN, MSN, NP-C, FNP
403 Hollywood Ave,
Hillside, NJ 07205-2715
(973) 760-0707
Not Available

Map and Direction




Provider's Profile

Full NameMiss Shelly Clavis
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location403 Hollywood Ave, Hillside, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Shelly Clavis graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1740524909
  • Provider Enumeration Date: 11/12/2012
  • Last Update Date: 11/12/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5799923892
  • Enrollment ID: I20130531000362

Medical Identifiers

Medical identifiers for Miss Shelly Clavis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740524909NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00402800 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Robert Wood Johnson University HospitalNew brunswick, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rutgers Health-rwj Scleroderma Program5193764991307

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Miss Shelly Clavis allows following entities to bill medicare on her behalf.
Entity NameRutgers Health-rwj Family Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780766527
PECOS PAC ID: 9032174271
Enrollment ID: O20041130000005
Entity NameRutgers Health-rwj Pediatric Critical Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780766527
PECOS PAC ID: 1355390287
Enrollment ID: O20050119000070
Entity NameRutgers Health-rwj Scleroderma Program
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679655781
PECOS PAC ID: 5193764991
Enrollment ID: O20050502000326
Entity NameAffinity Healthcare Group Cherry Hill Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003583733
PECOS PAC ID: 2961894480
Enrollment ID: O20220113000889

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Shelly Clavis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Shelly Clavis, RN, MSN, NP-C, FNP
403 Hollywood Ave,
Hillside, NJ 07205-2715

Ph: (973) 760-0707		Miss Shelly Clavis, RN, MSN, NP-C, FNP
403 Hollywood Ave,
Hillside, NJ 07205-2715

Ph: (973) 760-0707

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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