KELLY GRIBBON (APN) – Family Nurse Practitioner, NPI 1922843473

KELLY GRIBBON (APN) is a healthcare provider. based in Mountain lakes, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ15094100 (NJ). The NPI Number for KELLY GRIBBON (APN) is 1922843473

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KELLY GRIBBON (APN)
NPI
1922843473
Phone
(973) 537-5557
Address
333 US Highway 46 Ste 103
Enumeration Date
26 June 2024
Last Update Date
11 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9735390333
Graduation Year
2023 (3 years ago)
PAC ID
4880125210
Group Practice PAC ID
5890703177
Professional Enrollment ID
I20241009001205
Address ID
NJ079606348MO261XXSTXX308
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness85
Years active:1State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for KELLY GRIBBON (APN)

  • 333 US Highway 46 Ste 103

    Mountain Lakes, NJ 070461741

    Phone: (973) 537-5557

    Fax: (973) 537-5547

    Type: Location

  • 16 Eden Ln

    Whippany, NJ 079811402

    Phone: (973) 539-0333

    Fax: (973) 947-9065

    Type: Location

  • PO BOX 416457

    BOSTON, MA 022416457

    Phone: (844) 362-1735

    Type: Mailing

  • 261 JAMES ST STE 1A2G3A3D

    MORRISTOWN, NJ 079606392

    Phone: (973) 539-0333

    Fax: (973) 539-8909

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $157.

Total Amount is formed as General ($157) + Research ($0) + Ownership ($0) = $157.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: ABBVIE INC. ($140).

Total Amount

$157

General + Research + Ownership

Payments

8

Total payment records

General Amount

$157

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-10-09

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
I20241009001205INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07046)

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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: 5890703177View full group profile

Reviews

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Frequently asked questions

How do payers reference KELLY GRIBBON (APN)?
For KELLY GRIBBON (APN), use NPI 1922843473 as the unique 10-digit identifier.
Would KELLY GRIBBON (APN) appear as active to a payer?
You can treat KELLY GRIBBON (APN) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KELLY GRIBBON (APN)?
KELLY GRIBBON (APN) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for KELLY GRIBBON (APN)?
Travel planning: use Mountain Lakes, New Jersey as the reference point for KELLY GRIBBON (APN), then confirm.
When was this NPI issued?
Enumeration for KELLY GRIBBON (APN) is noted as June 26, 2024 where the registry provides it.

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