MARY ELIZABETH SUMMERLOTT PA
NPI 1043038144
Physician Assistant in Neptune, NJ

Q: What is Mary Summerlott's NPI number?

The NPI number for Mary Summerlott is 1043038144. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Q: What is Mary Summerlott's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Summerlott was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2024PECOS Enrolled

1945 STATE ROUTE 33, NEPTUNE, NJ 07753(732) 776-3790 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2025, Sep 30, 2024 (2 updates tracked since 2024).

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About Mary Elizabeth Summerlott Pa NPPES

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

MARY ELIZABETH SUMMERLOTT PA (NPI 1043038144) is an individual physician assistant in Neptune, New Jersey, licensed in New Jersey (25MP00908700) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1043038144

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY ELIZABETH SUMMERLOTTCredential: PA

Location Address1945 STATE ROUTE 33Neptune, NJ 07753-4488

Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688

Phone(732) 776-3790

Sole ProprietorNo

Enumeration DateSeptember 30, 2024

Last NPPES UpdateMay 9, 20252 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1043038144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · 25MP00908700

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1945 STATE ROUTE 33, Neptune, NJ 07753

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Secondary Practice Location 1

Location 1616 Marriott DrNashville, TN 37214-5048 · Phone (629) 802-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth Summerlott Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.