Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly T Ocampo Vivas, AGPCNP-BC

Individual provider Nurse Practitioner · NPI 1447032891

Kelly T Ocampo Vivas, AGPCNP-BC is a Nurse Practitioner in New Brunswick, New Jersey. Qualified in 2023, 3 years ago. Practices with Rutgers Health-Rwj Scleroderma Program, a 387-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
3
Licensed in
NJ
In the registry since
2023
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Practice location Address checks out

195 Little Albany St
New Brunswick, NJ 08901-1914
Phone: (732) 235-2465
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 26NJ14939900 (NJ)

Record details

NPI number1447032891
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedOctober 19, 2023
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rutgers Health-Rwj Scleroderma Program — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Brunswick