Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Elise Peccerelli

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1316642770

Jessica Elise Peccerelli is a Nurse Practitioner in South Orange, New Jersey. Qualified in 2024, 2 years ago. Practices with Puerto Rican Organization to Motivate Enlighten and Serve Addicts, Inc, a 5-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2023

Practice location Address checks out

400 S Orange Ave
South Orange, NJ 07079-2646
Phone: (973) 761-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 406543 (NY)

Record details

NPI number1316642770
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024
Mailing address37 Adela Ct, Yorktown Heights, NY 10598-2505

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Puerto Rican Organization To Motivate Enlighten And Serve Addicts, Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Orange