Shelly Clavis, RN, MSN, NP-C, FNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00402800 Issued in NJ

Practice address

337 Academy Ter
Linden, NJ 07036-5601

Phone

(201) 500-6992

Fax

(833) 605-4359

NPI assigned

Nov 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutgers Health-RWJ Scleroderma ProgramGroup PAC ID 5193764991, 390 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score

88.4 of 100Reported as group

Quality

70.64

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sclavis33767@epicdirect.rwjbh.org

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.

• Rutgers Health-RWJ Scleroderma Program

  • Allergy & Immunology (Internal Medicine) Physician
  • New Brunswick, NJ
  • NPI 1679655781
  Medicare reassignment Care Compare group NPD
• Affinity Healthcare Group Cherry Hill LLC

  • Methadone Clinic
  • Cherry Hill, NJ
  • NPI 1003583733
  Medicare reassignment NPD
• Mental Health and Addiction Center,

  • Psychiatric/Mental Health Nurse Practitioner
  • Jersey City, NJ
  • NPI 1831651876
  Medicare reassignment NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Family Medicine Physician
  • New Brunswick, NJ
  • NPI 1780766527
  Medicare reassignment
• Rutgers Health-RWJ Pediatric Critical Care

  • Critical Care Medicine (Anesthesiology) Physician
  • New Brunswick, NJ
  • NPI 1376551093
  NPD
• Rutgers Health-RWJ Primary Medicine Group

  • Internal Medicine Physician
  • New Brunswick, NJ
  • NPI 1992887012
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1033207378
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Clinical Genetics (M.D.) Physician
  • New Brunswick, NJ
  • NPI 1194732743
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Radiation Oncology Physician
  • New Brunswick, NJ
  • NPI 1942249909
  NPD
• Shelly Clavis, Apn, DNP, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Linden, NJ
  • NPI 1457148215
  NPD
• Rutgers Health-RWJ Scleroderma Program

  • Allergy & Immunology Physician
  • New Brunswick, NJ
  • NPI 1619059011
  NPD (past)

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

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  Care Compare affiliation

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1740524909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 HOLLYWOOD AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052715",
            "telephone_number": "973-760-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 ACADEMY TER",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365601",
            "telephone_number": "201-500-6992",
            "fax_number": "833-605-4359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 Hollywood Ave",
            "address_purpose": "LOCATION",
            "city": "Hillside",
            "state": "NJ",
            "postal_code": "072052715",
            "country_code": "US",
            "telephone_number": "973-760-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAVIS",
        "first_name": "SHELLY",
        "name_prefix": "Miss",
        "credential": "RN, MSN, NP-C, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00402800",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00402800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0341151",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tony Chukwueke, PTA
• Chiedozie Gerald Chukwuneke, RPH
• Przemyslaw S Chyczewski, PHARM.D.
• City of Linden
• City of Linden Health Dept
• Clear Speech LLC
• Dionis Joi Cochrane, MBA, BA, CHC, CLC
• Cole Vision Corporation
• Community Access Unlimitd Inc
• Community Access Unlimitd Inc

• Psychiatric/Mental Health Nurse Practitioner in Linden, NJ
• Providers in Linden, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.