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ELFIE WEGNER RN P
NPI 1003993387
Nurse Practitioner in Summit, NJ

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
33 OVERLOOK RD, SUMMIT, NJ 07901(973) 971-7184 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elfie Wegner Rn P NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELFIE WEGNER RN P (NPI 1003993387) is an individual nurse practitioner in Summit, New Jersey, licensed in New Jersey (26NN08641300) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1003993387
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELFIE WEGNERCredential: RN P
Location Address33 OVERLOOK RDSummit, NJ 07901-3570
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (448) 362-1735 · Fax (973) 290-7495
Phone(973) 971-7184
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 1, 2006
Last NPPES UpdateFebruary 8, 2022
NPPES CertifiedFebruary 8, 2022
✔ NPI 1003993387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NN08641300
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
33 OVERLOOK RD, Summit, NJ 07901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elfie Wegner Rn P is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092819540
PECOS Enrollment IDI20070322000588
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services74 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services32 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
14 services13 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
14 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALPHA BEHAVIORAL CARE PA
Psychiatry & Neurology (Psychiatry)
33 OVERLOOK RD, SUITE 210
SUMMIT, NJ 07901
Union County (908) 273-0800
CHANG KWEON MD
Anesthesiology
33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901
Union County (908) 598-1500
DR. ELISE BUTKIEWICZ MD
Family Medicine
33 OVERLOOK RD, 103
SUMMIT, NJ 07901
Union County (908) 522-5700
JASON BYERS MD
Anesthesiology
33 OVERLOOK RD, STE 311
SUMMIT, NJ 07901
Union County (908) 598-1500
SUMMIT PLASTIC SURGERY, PC
Surgery (Plastic and Reconstructive Surgery)
33 OVERLOOK RD, SUITE 310
SUMMIT, NJ 07901
Union County (908) 918-1969
DR. JOSEPH F ALTONGY M.D.
Orthopaedic Surgery
33 OVERLOOK RD, SUITE 202
SUMMIT, NJ 07901
Union County (908) 273-8340
BEVERLY PRANZATELLI P.T.
Physical Therapist
33 OVERLOOK RD, SUITE 203
SUMMIT, NJ 07901
Union County (908) 608-0706
MARY A LEGASPI M.D.
Emergency Medicine
33 OVERLOOK RD, SUITE L01
SUMMIT, NJ 07901
Union County (908) 522-5700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elfie Wegner's NPI number?

The NPI number for Elfie Wegner is 1003993387. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Elfie Wegner located?

Elfie Wegner practices at 33 Overlook Rd, Summit, NJ 07901. The listed phone number is (973) 971-7184.

What is Elfie Wegner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elfie Wegner enrolled in Medicare?

Yes. Elfie Wegner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Elfie Wegner accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Elfie Wegner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Elfie Wegner affiliated with any hospitals?

According to CMS data, Elfie Wegner is affiliated with Morristown Medical Center and Overlook Medical Center.

When was this NPI record last updated?

The NPPES record for Elfie Wegner was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.