Mary Ellen Reavey, MS, APRN, FNP-BC

Key facts

NPI

1497113237

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

26NJ00381400 (NJ)

Practice address

140 Water St
Red Bank, NJ 07701-1100

Phone

(732) 747-3727

NPI assigned

Feb 8, 2016

Sex

Female

Sole proprietor

Yes

Organizations & group practices 4

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.

• Valley Physician Services PC Internal Medicine Physician · Paramus, NJ · NPI 1467815928
  Medicare reassignment Care Compare group NPD NJ
• Valley Physician Services, Ny, PC Clinical Cardiac Electrophysiology Physician · Ridgewood, NJ · NPI 1457626558
  Medicare reassignment Care Compare group NPD NJ
• Hackensack Meridian Health Medical Group - Specialty Care PC Surgical Critical Care Physician · Red Bank, NJ · NPI 1215989249
  Medicare reassignment NPD NJ
• Hackensack Meridian Health Medical Group - Specialty Care PC Durable Medical Equipment & Medical Supplies · North Bergen, NJ · NPI 1215734199
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Valley Hospital Inc. General Acute Care Hospital · Paramus, NJ · NPI 1013912633
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley Physician Services, Ny, PC (17 clinicians)
Valley Physician Services PC (593 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Valley Hospital Hospital · Paramus, NJ · CCN 310012

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maryellen.reavey@direct.hackensackmeridian.org
• Direct secure messaging: mary.ellen.reavey.2@5622.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 26, 2017.

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495756800000",
    "number": "1497113237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WATER STREET",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "07701",
            "telephone_number": "732-747-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WATER ST",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011100",
            "telephone_number": "732-747-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAVEY",
        "first_name": "MARY ELLEN",
        "credential": "MS, APRN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2017-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337177-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00381400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

• Jeanette Ravelo-Rodriguez, FNP-C
• Shazli Razi, MBBS, MD
• RB SNF Operations LLC
• Dana Valli Re
• Amanda Louise Reader, BSW, MS, BCBA
• Kimberly Rebolledo
• Carolyn Joyce Receveur, LCSW
• Red Bank Acquisition 1 LLC
• Red Bank Anesthesia, LLC
• Red Bank Counseling LLC

All providers in Red Bank, NJ · Family Nurse Practitioner in New Jersey