Erin Groel, PA-C
NPI 1396004396 · Medical Physician Assistant · Berkeley Heights, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Erin Groel, PA-C is a Medical Physician Assistant provider in Berkeley Heights, NJ (NPI 1396004396).
Provider details
- NPI number
- 1396004396
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 25MP00074300 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
94 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 83 | $117 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 11 | $156 |
Typical Medicare-allowed amounts for these services range $117–$156 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 391 Springfield AveSuite 1bBerkeley Heights, NJ 07922-1174Phone: (908) 665-1177Fax: (908) 665-8420
Registry dates
- Enumerated
- 2012-05-10
- Last updated
- 2018-03-17
Frequently asked questions
- What is Erin Groel's NPI number?
- Erin Groel's National Provider Identifier (NPI) is 1396004396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Erin Groel's specialty?
- Erin Groel is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Erin Groel located?
- Erin Groel's practice location on file with NPPES is 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104.
- What is Erin Groel's phone number?
- The practice phone number listed in the NPPES registry for Erin Groel is (908) 273-4300.
- Does Erin Groel accept Medicare?
- Erin Groel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Erin Groel's NPI active?
- Yes — Erin Groel's NPI (1396004396) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.