Ms Kelly Nussbaum, APRN - Medicare Nurse Practitioner in Englewood, NJ

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Ms Kelly Nussbaum, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Englewood, New Jersey. She graduated from nursing school in 1988 and has 36 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Center For Family Guidance Pc, Knd Development 59 Llc and her current practice location is 163 Engle St Ste 4a, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 408-4487.

Ms Kelly Nussbaum is licensed to practice in New Jersey (license number 26NC07471600) 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 1215229596.

Contact Information

Ms Kelly Nussbaum, APRN
163 Engle St Ste 4a,
Englewood, NJ 07631-2530
(201) 408-4487
(800) 352-3015

Map and Direction




Provider's Profile

Full NameMs Kelly Nussbaum
GenderFemale
SpecialityNurse Practitioner
Experience36 Years
Location163 Engle St Ste 4a, Englewood, 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:
  • Ms Kelly Nussbaum graduated from nursing school in 1988
  NPI Data:
  • NPI Number: 1215229596
  • Provider Enumeration Date: 05/05/2011
  • Last Update Date: 05/05/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1052569639
  • Enrollment ID: I20120925000036

Medical Identifiers

Medical identifiers for Ms Kelly Nussbaum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215229596NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0809XClinical Nurse Specialist - Psychiatric/mental Health, Adult 26NC07471600 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Michael's Medical CenterNewark, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Center For Family Guidance Pc2860396454162
Knd Development 59 Llc3678602802145

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. Ms Kelly Nussbaum allows following entities to bill medicare on her behalf.
Entity NameCenter For Family Guidance Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508803388
PECOS PAC ID: 2860396454
Enrollment ID: O20031125000323
Entity NameGarden State Healthcare Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700014545
PECOS PAC ID: 8426190687
Enrollment ID: O20100126000693
Entity NameNj Memory And Behavioral Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538499181
PECOS PAC ID: 7719013267
Enrollment ID: O20100413000027
Entity NamePrime Healthcare Services - Saint Clare's, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497134274
PECOS PAC ID: 6406165372
Enrollment ID: O20151103001886
Entity NameKnd Development 59 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538498290
PECOS PAC ID: 3678602802
Enrollment ID: O20170420000526

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. Ms Kelly Nussbaum 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
Ms Kelly Nussbaum, APRN
9 Ricker Rd,
Kinnelon, NJ 07405

Ph: (973) 838-8869		Ms Kelly Nussbaum, APRN
163 Engle St Ste 4a,
Englewood, NJ 07631-2530

Ph: (201) 408-4487

Reviews and Comments


Clinical Nurse Specialist Nurses in Englewood, NJ

Ms. Mary Joan Stiuso, APN
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 174 Grand Ave, Englewood, NJ 07631
Phone: 201-788-1000    Fax: 201-767-3463
Ms. Carol Ann Hutchens, ANP
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 68 Franklin St, Englewood, NJ 07631
Phone: 201-894-1516    
Christine A. Doerr, APRN-BC
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 163 Engle St, Suite 202, Englewood, NJ 07631
Phone: 201-280-8734    Fax: 201-266-6200
Jill M Cox, APRN-BC
Clinical Nurse Specialist
Medicare: Accepting Medicare Assignments
Practice Location: 350 Engle Street, Englewood, NJ 07631
Phone: 201-894-3202    Fax: 201-894-1722

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.