Kelly Ann Perez, PMHNP - Medicare Nurse Practitioner in Fanwood, NJ

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Kelly Ann Perez, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Fanwood, New Jersey. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Valeo Behavioral Health, Inc. and her current practice location is 193 Terrill Rd, Fanwood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 258-9524.

Kelly Ann Perez is licensed to practice in New Jersey (license number 26NJ15092100) 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 1528802220.

Contact Information

Kelly Ann Perez, PMHNP
193 Terrill Rd,
Fanwood, NJ 07023-1055
(908) 258-9524
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ann Perez
GenderFemale
SpecialityNurse Practitioner
Experience1 Years
Location193 Terrill Rd, Fanwood, 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:
  • Kelly Ann Perez graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1528802220
  • Provider Enumeration Date: 06/19/2024
  • Last Update Date: 06/19/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2769929066
  • Enrollment ID: I20240805001828

Medical Identifiers

Medical identifiers for Kelly Ann Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528802220NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 26NR11463600 (New Jersey)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ15092100 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Valeo Behavioral Health, Inc.00424872336

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. Kelly Ann Perez allows following entities to bill medicare on her behalf.
Entity NameValeo Behavioral Health, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851677033
PECOS PAC ID: 0042487233
Enrollment ID: O20120111000123
Entity NameTree Of Life Counseling Center, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841711306
PECOS PAC ID: 2668848425
Enrollment ID: O20221019001008

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. Kelly Ann Perez 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
Kelly Ann Perez, PMHNP
193 Terrill Rd,
Fanwood, NJ 07023-1055

Ph: (908) 258-9524		Kelly Ann Perez, PMHNP
193 Terrill Rd,
Fanwood, NJ 07023-1055

Ph: (908) 258-9524

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).

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.