KELLY ST. MARIE MSN, FNP-C
NPI 1013626936
Nurse Practitioner - Family in Toms River, NJ

Active since November 18, 2022PECOS EnrolledAccepts Medicare Assignment
2360 LAKEWOOD RD, TOMS RIVER, NJ 08755(732) 719-7788 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly St. Marie Msn, Fnp-c NPPES

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

KELLY ST. MARIE MSN, FNP-C (NPI 1013626936) is an individual family provider in Toms River, New Jersey, licensed in New Jersey (26NJ01399700) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013626936
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ST. MARIECredential: MSN, FNP-C
Location Address2360 LAKEWOOD RDToms River, NJ 08755-1929
Mailing Address44 Union Ave Apt DNeptune, NJ 07753-6376
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 18, 2022
NPPES CertifiedNovember 18, 2022
NPI 1013626936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NJ01399700
2360 LAKEWOOD RD, Toms River, NJ 08755

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

Kelly St. Marie Msn, Fnp-c 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 ID3173993631
PECOS Enrollment IDI20221228002243
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 16

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 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.
200 services186 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
157 services111 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
131 services129 patients
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.
117 services114 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
114 services114 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
72 services72 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 10

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

Physician Assistant
2360 LAKEWOOD RD
TOMS RIVER, NJ 08755
Family Medicine
2360 LAKEWOOD RD
TOMS RIVER, NJ 08755
Community/Behavioral Health
2360 LAKEWOOD RD, SUITE 3 #256
TOMS RIVER, NJ 08755
Pharmacist
2360 LAKEWOOD RD
TOMS RIVER, NJ 08755
Family Medicine
2360 LAKEWOOD RD
TOMS RIVER, NJ 08755
Pharmacist
2360 LAKEWOOD RD
TOMS RIVER, NJ 08755
Pharmacist
2360 LAKEWOOD RD
TOMS RIVER, NJ 08755
Occupational Therapist
2360 LAKEWOOD RD, STE 3 #114
TOMS RIVER, NJ 08755

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 Kelly St. Marie's NPI number?

The NPI number for Kelly St. Marie is 1013626936. It was assigned to this individual provider in the NPPES registry on November 18, 2022.

Where is Kelly St. Marie located?

Kelly St. Marie practices at 2360 Lakewood Rd, Toms River, NJ 08755. The listed phone number is (732) 719-7788.

What is Kelly St. Marie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kelly St. Marie enrolled in Medicare?

Yes. Kelly St. Marie 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.

Is Kelly St. Marie affiliated with any hospitals?

According to CMS data, Kelly St. Marie is affiliated with Morristown Medical Center.

When was this NPI record last updated?

The NPPES record for Kelly St. Marie was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.