KELLY VANWYCK – Family Nurse Practitioner, NPI 1104334655
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
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Provider Addresses for KELLY VANWYCK
700 ROUTE 46 E STE 450
FAIRFIELD, NJ 070041583
Phone: (973) 559-3700
Type: Mailing
205, Post Oak Court, Randolph Village, Largo, Hyattsville, Prince George's County, Maryland, 20785, United States
RANDOLPH, NJ 078692144
Phone: (973) 560-9500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 51 Open Payments records for all available years, with a total value of $865.
Total Amount is formed as General ($865) + Research ($0) + Ownership ($0) = $865.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Novo Nordisk Inc ($346).
Total Amount
$865
General + Research + Ownership
Payments
51
Total payment records
General Amount
$865
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $346 |
| ABBVIE INC. | $134 |
| Exact Sciences Corporation | $82 |
| Takeda Pharmaceuticals U.S.A., Inc. | $62 |
| PFIZER INC. | $62 |
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: 2018-02-14
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 |
|---|---|---|---|---|
| I20180214000934 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 64 | 40 | $0 |
| 81003 | Automated urinalysis test | 41 | 33 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 23 | 23 | $0 |
| 93000 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 19 | 19 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 19 | 18 | $0 |
Insurance plans in this area (ZIP 07004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NJ | |
| Family Practice | NJ | |
| Allergy/Immunology, Pediatric Medicine | NJ | |
| Family Practice | NJ | |
| Physician Assistant | NJ | |
| Family Practice | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ |
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