Kelly Taxeras, DNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ01194000 Issued in NJ

Practice address

92 2ND St
Hackensack, NJ 07601-2191

Phone

(551) 996-5900

NPI assigned

Sep 3, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

80.53 of 100Reported as group

Quality

50.37

Promoting interoperability

100

Improvement activities

40

Cost

70.22

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • Toms River, NJ
  • NPI 1801850243
  Medicare reassignment NPD
• Regional Cancer Care Associates LLC

  • Hematology & Oncology Physician
  • Belleville, NJ
  • NPI 1447315502
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1174291058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BRANDYWINE PL",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362313",
            "telephone_number": "201-669-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 2ND ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012191",
            "telephone_number": "551-996-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAXERAS",
        "first_name": "KELLY",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ01194000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Tarrash, DO
• Stephanie Iovino Tartamella
• Sonali Tatapudy
• Adryanna Lima Tavares, APN
• Daniella Tavares
• Charles Taylor
• Cody Wolfson Taylor, MD
• Daenielle Taylor, NP
• Teachable Moments of NJ
• Team Management 2000 Inc

• Adult Health Nurse Practitioner in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.