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Keiley Cornell Indivero, PA-C

NPI 1285060657ActiveIndividual· Physician Assistant· Jersey City, NJ

Physician Assistant (PA-C) with Rwjbh Observation Associates LLC, practicing in Jersey City, New Jersey. 50 Medicare patients in 2024, $5,551 paid; nearly all of their 75 Part D prescriptions were generic (93%). Glaxosmithkline, LLC. reported $124.98 in payments in 2025, mostly food and beverage. Lists Jersey City Medical Center as a hospital affiliation.

Overview

NPI1285060657
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedSep 17, 2013
Last updated in NPPESMay 19, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X1285060657NJ
Physician Assistant363A00000X017000NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (NJ)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients50
Services billed60 across 12 procedure codes
Paid by Medicare$5,551

Part D prescriptions in 2024

Prescriptions (claims)75 · 90 30-day fills
Patients55
Total drug cost$2,146
Generic share93% of claims

Medicare sources and data years

Education and affiliations

Graduation year2013
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$124.98 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Glaxosmithkline, LLC.$124.981

What the 2025 payments were for

  • Food and Beverage$124.98 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Jersey City

All 68 physician assistants in Jersey City · All physician assistants in New Jersey