MS. LORI BRAVENBOER (FNP) – Family Nurse Practitioner, NPI 1003281940

MS. LORI BRAVENBOER (FNP) is a healthcare provider. based in Vernon, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 26NJ00603500 (NJ). The NPI Number for MS. LORI BRAVENBOER (FNP) is 1003281940

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MS. LORI BRAVENBOER (FNP)
NPI
1003281940
Phone
(973) 214-2334
Address
22 HIDDEN VALLEY DR
Enumeration Date
3 December 2015
Last Update Date
3 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9735846751
Graduation Year
2015 (11 years ago)
PAC ID
4183968290
Group Practice PAC ID
1658674585
Professional Enrollment ID
I20181130000422
Address ID
NJ078529667LE501XX10XX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MS. LORI BRAVENBOER (FNP)

  • 22 HIDDEN VALLEY DR

    VERNON, NJ 074623153

    Phone: (973) 214-2334

    Type: Mailing

  • 181 HIGH ST

    NEWTON, NJ 078601020

    Phone: (973) 383-9898

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181130000422INurse PractitionerNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4846$0
99203New patient office or other outpatient visit, 30-44 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 07462)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658674585View full group profile

Reviews

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Frequently asked questions

How is MS. LORI BRAVENBOER (FNP) identified in CMS data?
CMS-hosted NPPES data lists MS. LORI BRAVENBOER (FNP) with NPI 1003281940.
Is MS. LORI BRAVENBOER (FNP) listed as active for patients and plans?
The listing shows MS. LORI BRAVENBOER (FNP) as active in the NPI system.
What healthcare role does MS. LORI BRAVENBOER (FNP) hold?
Scheduling teams often label MS. LORI BRAVENBOER (FNP) under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MS. LORI BRAVENBOER (FNP) serve?
MS. LORI BRAVENBOER (FNP)'s listing highlights Vernon, New Jersey; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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