KHALENA F ANSELMO – Nurse Practitioner, NPI 1003241498
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for KHALENA F ANSELMO
700 HIGHWAY 71 STE 2
SEA GIRT, NJ 087502805
Phone: (732) 974-8100
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Smith+Nephew, Inc. ($20).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Smith+Nephew, Inc. | $20 |
| Solventum Corporation | $19 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131114000097 | I | Nurse Practitioner | NJ | TBD |
| I20231110001739 | I | Nurse Practitioner | FL | TBD |
| I20241223000033 | I | Nurse Practitioner | TX | TBD |
| I20250128000565 | I | Nurse Practitioner | AZ | TBD |
| I20250128001060 | I | Nurse Practitioner | WA | TBD |
| I20250128001184 | I | Nurse Practitioner | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 08750)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX | |
| Physician Assistant | OR | |
| Nurse Practitioner | AZ |
Reviews
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