Ms Kristen Ennis, FNP-C - Medicare Nurse Practitioner in Hackensack, NJ

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Ms Kristen Ennis, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Hackensack, New Jersey. Her current practice location is 30 Prospect Ave, Hackensack, New Jersey. You can reach out to her office (for appointments etc.) via phone at (551) 996-4078.

Ms Kristen Ennis is licensed to practice in New Jersey (license number 26NJ00453200) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689006272.

Contact Information

Ms Kristen Ennis, FNP-C
30 Prospect Ave,
Hackensack, NJ 07601-1915
(551) 996-4078
(551) 996-4140

Map and Direction




Provider's Profile

Full NameMs Kristen Ennis
GenderFemale
SpecialityNurse Practitioner - Family
Location30 Prospect Ave, Hackensack, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689006272
  • Provider Enumeration Date: 08/06/2013
  • Last Update Date: 04/11/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6103135975
  • Enrollment ID: I20151016001872

Medical Identifiers

Medical identifiers for Ms Kristen Ennis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689006272NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 26NJ00453200 (New Jersey)Secondary
363LF0000XNurse Practitioner - Family 26NJ00453200 (New Jersey)Primary

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 Kristen Ennis allows following entities to bill medicare on her behalf.
Entity NameHackensack Meridian Health Medical Group - Specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215989249
PECOS PAC ID: 9133032519
Enrollment ID: O20031111000524
Entity NameRobert Wood Johnson Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848625
PECOS PAC ID: 8628065117
Enrollment ID: O20040427001205
Entity NameHackensack Meridian Health Medical Group - Complex Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154379626
PECOS PAC ID: 0446272298
Enrollment ID: O20060109000000
Entity NameMeridian Medical Group-specialty Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942362587
PECOS PAC ID: 6507962206
Enrollment ID: O20070425000673

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 Kristen Ennis 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 Kristen Ennis, FNP-C
51 Woodcrest Dr,
Woodcliff Lake, NJ 07677-7629

Ph: (845) 304-4459		Ms Kristen Ennis, FNP-C
30 Prospect Ave,
Hackensack, NJ 07601-1915

Ph: (551) 996-4078

Reviews and Comments


Nurse Practitioner Nurses in Hackensack, NJ

Mrs. Lauren Anne Carucci, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Michael Anthony Williams-healy, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 155 Polifly Rd, Hackensack, NJ 07601
Phone: 201-343-6360    
Alexandra Schulsinger,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    
Ms. Elizabth Anne Bilotti, APN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 20 Prospect Ave, The Cancer Center At Hackensack University Medical Ctr., Hackensack, NJ 07601
Phone: 201-996-5900    
Mrs. Katherine Elizabth Demarco, APN-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 30 Prospect Avenue, Humc, Pain & Palliative Medicine Institute, Hackensack, NJ 07601
Phone: 201-996-2000    
Stephanie Akanbi, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2576    
Irene Krawczyk, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 30 Prospect Ave, Hackensack, NJ 07601
Phone: 551-996-2000    

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.