Kelly Thibault, CRNP
Pediatric Nurse Practitioner · Newark, NJ
Kelly Thibault, CRNP is a pediatric nurse practitioner with a practice address in Newark, New Jersey, and NPI 1730597360, issued on Jul 28, 2014. Check the license (New Jersey 26NJ0048730, as entered in NPPES) with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Thibault
- Credential
- CRNP
- Primary taxonomy
- Pediatric Nurse Practitioner 363LP0200X
- License numbers
- 26NJ0048730 NJ
382415 NY
Self-reported in NPPES; status is on the state search - Practice location
- 201 Lyons Ave, Newark, NJ 07112
- Phone
- (973) 926-7000
- Enumerated
- Jul 28, 2014
- Record last updated
- Aug 26, 2025
- Medicare enrollment
- Enrolled (PECOS I20251218004374); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pediatric nurse practitioner records → All 492 in New Jersey → Look up another NPI →
Also registered at 201 Lyons Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mohammad Abbas, MDStudent in an Organized Health Care Education/Training Program1922940550
- Malaz Abdalla, MBBSStudent in an Organized Health Care Education/Training Program1861196818
- Rawan Abdalla, MDStudent in an Organized Health Care Education/Training Program1376481739
- Ahmed AbdaltawabStudent in an Organized Health Care Education/Training Program1689514093
- Girom AbdelmesihStudent in an Organized Health Care Education/Training Program1548109044
- Safa AbdulhaiStudent in an Organized Health Care Education/Training Program1437845245
Verify Kelly Thibault in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
Search for license 26NJ0048730Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $185.58
11 payments; by number, the most common kind was food and beverage; the largest payer was Azurity Pharmaceuticals, Inc. The 7,169 providers of this specialty with any payment received $330.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Kelly Thibault among 492 pediatric nurse practitioner records in New Jersey
Kelly Thibault, CRNP is one of 492 pediatric nurse practitioner records with a practice address in New Jersey. 46% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 48% of them.
- NPI issued2014 · 48% of these records are older, 49% newer
- In a Medicare fileYes · 46% of these records are
- In the CMS Doctors and Clinicians fileYes · 8% of these records are
- Graduated2012 · median 2017 among the 37 with a school on file
- Record last updated2025 · 58% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0200X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatric Nurse Practitioner providers in New Jersey
There are 492 pediatric nurse practitioner records in New Jersey.
All 492 in New Jersey → Every provider in Newark → Pediatric Nurse Practitioner nationwide →
The 8 pediatric nurse practitioner records with the nearest ZIP codes
- Debra Brouwer, APNNewark, NJ 071121013579598
- Cathleen Cahill, A.P.N.Newark, NJ 071121851598569
- Marianne Connelly-Semenuk, RN, APNNewark, NJ 071121598718918
- Anoush Essajanian, CPNPNewark, NJ 071121649918624
- Bethany Falandes, APNNewark, NJ 071121407324403
- Elizabeth Fortes, APNNewark, NJ 071121467093096
- Romelia Hasegawa, CPNP-PCNewark, NJ 071121447622550
- Yini KongNewark, NJ 071121538637038
Common questions
What is Kelly Thibault, CRNP's NPI number?
Kelly Thibault, CRNP's National Provider Identifier (NPI) is 1730597360, issued on Jul 28, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Thibault, CRNP located?
The NPPES record lists a practice address at 201 Lyons Ave, Newark, NJ, 07112. Phone: (973) 926-7000. Providers update this record themselves, so call before visiting.
How can I verify Kelly Thibault, CRNP's license?
NPPES lists New Jersey license number 26NJ0048730, as entered by the provider. Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.