MS. KRISTEN ENNIS (FNP-C) – Family Nurse Practitioner, NPI 1689006272
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,508 NURSE PRACTITIONER in NJ
Provider Addresses for MS. KRISTEN ENNIS (FNP-C)
1945 Route 33
Neptune, NJ 077534859
Phone: (732) 775-5500
Type: Location
1945 ROUTE 33
NEPTUNE, NJ 077534859
Phone: (732) 775-5500
Type: Location
51 WOODCREST DR
WOODCLIFF LAKE, NJ 076777629
Phone: (845) 304-4459
Type: Mailing
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Phone: (551) 996-4078
Fax: (551) 996-4140
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: 2015-10-16
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 |
|---|---|---|---|---|
| I20151016001872 | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 07753)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | CA | |
| Infectious Disease | MI | |
| Cardiovascular Disease (Cardiology) | NJ | |
| G A S T R O E N T E R O L O G Y | MD | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Nurse Practitioner | NJ | |
| Infectious Disease | MI | |
| Cardiovascular Disease (Cardiology) | NJ | |
| Radiation Oncology | NJ | |
| Infectious Disease | NY |
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