CASSANDRA NUNEZ (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1053958140
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CASSANDRA NUNEZ (APN)
111 Lexington Ave
Passaic, NJ 070555246
Phone: (973) 471-8006
Type: Location
14 Ridgedale Ave
Cedar Knolls, NJ 079271106
Phone: (973) 295-6335
Type: Location
PO BOX 4212
WAYNE, NJ 074744212
Phone: (973) 866-9387
Type: Mailing
14 RIDGEDALE AVE
CEDAR KNOLLS, NJ 079271106
Phone: (973) 295-6335
Type: Location
79 HILLYER ST
ORANGE, NJ 070504028
Phone: (973) 866-9387
Type: Mailing
111 LEXINGTON AVE
PASSAIC, NJ 070555246
Phone: (973) 471-8006
Type: Location
180 TALMADGE RD # 822
EDISON, NJ 088172860
Phone: (973) 866-9387
Fax: (973) 604-4174
Type: Mailing
777 ROUTE 70 E STE G101
EVESHAM, NJ 080532548
Phone: (856) 818-4020
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $166.
Total Amount is formed as General ($166) + Research ($0) + Ownership ($0) = $166.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($150).
Total Amount
$166
General + Research + Ownership
Payments
10
Total payment records
General Amount
$166
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $150 |
| ENDOTRONIX, INC. | $16 |
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: 2020-03-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200312000194 | I | Nurse Practitioner | NJ | 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 07055)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | NJ | |
| Geriatric Psychiatry, Psychiatry, Psychiatry | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | VA |
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