Individual provider Active NPI

Michelle Misskerg, MSN, FNP-BC

  • Nurse Practitioner
  • Whippany, NJ
National Provider Identifier
1528600186
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00965000 Issued in NJ
Practice address
568 NJ-10
Suite 3-5
Whippany, NJ 07981
Phone
(973) 595-8355
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00965000 NJ Primary

Addresses

Primary practice location

568 NJ-10
Suite 3-5
Whippany, NJ 07981

Mailing address

568 NJ-10
Suite 3-5
Whippany, NJ 07981
Phone (973) 535-8355

Other names 1

  • Michelle Reckel Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200312001615 NJ Practitioner - Nurse Practitioner 5395173959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease Center of New Jersey, LLCGroup PAC ID 9638177900, 12 clinicians

Practice addresses (Care Compare)

568 Route 10
Whippany, NJ 07981-1516
Phone (973) 535-8355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00965000NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Center of New Jersey, LLC CurrentSince Jan 29, 2020 Accepting new patients
Neighborhood Urgent Care CurrentSince Sep 1, 2021 Accepting new patients

Locations

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

22 Old Short Hills Rd
Ste 106
Livingston, NJ 07039
Phone (973) 400-9040

568 State Route 10
Whippany, NJ 07981
Phone (973) 535-8355

568 Route 10 W
Ste 35
Whippany, NJ 07981
Phone (973) 535-8355

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1528600186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 NJ-10",
            "address_2": "SUITE 3-5",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "07981",
            "telephone_number": "973-535-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 NJ-10",
            "address_2": "SUITE 3-5",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "07981",
            "telephone_number": "973-595-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISSKERG",
        "first_name": "MICHELLE",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00965000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "RECKEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whippany, NJ

Sources for this page

Verify at the official NPI Registry.