Nicole Rengifo, - Medicare Nurse Practitioner in Teaneck, NJ

Nicole Rengifo, is a medicare enrolled "Nurse Practitioner - Adult Health" in Teaneck, New Jersey. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Excelcare Medical Associates Pa and her current practice location is 718 Teaneck Rd, Teaneck, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 833-3000.

Nicole Rengifo is licensed to practice in New Jersey (license number 26NJ00714000) 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 1104366699.

Contact Information

Nicole Rengifo,
718 Teaneck Rd,
Teaneck, NJ 07666-4245
(201) 833-3000
Not Available

Map and Direction




Provider's Profile

Full NameNicole Rengifo
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location718 Teaneck Rd, Teaneck, 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:
  • Nicole Rengifo graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1104366699
  • Provider Enumeration Date: 03/02/2017
  • Last Update Date: 03/02/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7416291596
  • Enrollment ID: I20181129002802

Medical Identifiers

Medical identifiers for Nicole Rengifo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104366699NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 26NJ00714000 (New Jersey)Primary
364SG0600XClinical Nurse Specialist - Gerontology 26NJ00714000 (New Jersey)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Excelcare Medical Associates Pa4284647868176

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. Nicole Rengifo allows following entities to bill medicare on her behalf.
Entity NameExcelcare Medical Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992736300
PECOS PAC ID: 4284647868
Enrollment ID: O20060727000044
Entity NameNew Jersey Medical And Health Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558673582
PECOS PAC ID: 9133300791
Enrollment ID: O20110302000334

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. Nicole Rengifo 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
Nicole Rengifo,
227 E 3rd Ave,
Roselle, NJ 07203-1333

Ph: () -
Nicole Rengifo,
718 Teaneck Rd,
Teaneck, NJ 07666-4245

Ph: (201) 833-3000

Reviews and Comments


Nurse Practitioner Nurses in Teaneck, NJ

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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).

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.