Individual provider Active NPI

Mindi Beth Urena, APRN

  • Nurse Practitioner
  • Sparta, NJ
National Provider Identifier
1699448688
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NR15840400 Issued in NJ
Practice address
89 Sparta Ave Ste 200
Sparta, NJ 07871-1790
Phone
(973) 726-7220
NPI assigned
Jul 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ01158700 NJ
Nurse Practitioner 363L00000X 26NR15840400 NJ Primary

Addresses

Primary practice location

89 Sparta Ave Ste 200
Sparta, NJ 07871-1790

Mailing address

52 Scenic CT
Hackettstown, NJ 07840-1745
Phone (201) 446-8186

Other identifiers 1

IdentifierTypeStateIssuer
26NJ01158700OtherNJNJ BOARD OF NURSING APN LICENSE

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
I20220104000640 NJ Practitioner - Nurse Practitioner 4587055462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physiatry Consultants of NJ LLCGroup PAC ID 3375914419, 20 clinicians

Practice addresses (Care Compare)

350 Oxford Rd
Oxford, NJ 07863-3224
Phone (908) 453-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ01158700NJMDNurse Practitioner
26NR15840400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physiatry Consultants of NJ LLC CurrentSince Mar 1, 2026 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients
Summit Medical Group PA CurrentSince Dec 30, 2021 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

145 State Park Rd
Blairstown, NJ 07825
Phone (908) 459-4128

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

350 Oxford Rd
Oxford, NJ 07863
Phone (908) 453-7700

390 Red School Ln
Phillipsburg, NJ 08865
Phone (908) 859-0200

Interoperability endpoints

  • Direct secure messaging: mindi.urena.1@2983.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1699448688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 SCENIC CT",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078401745",
            "telephone_number": "201-446-8186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 SPARTA AVE STE 200",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078711790",
            "telephone_number": "973-726-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URENA",
        "first_name": "MINDI",
        "middle_name": "BETH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01158700",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NR15840400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ BOARD OF NURSING APN LICENSE",
            "identifier": "26NJ01158700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NJ

Sources for this page

Verify at the official NPI Registry.