ALIX DETULLIO APN
NPI 1043618747
Clinical Nurse Specialist - Acute Care in Freehold, NJ
About Alix Detullio Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALIX DETULLIO APN (NPI 1043618747) is an individual acute care provider in Freehold, New Jersey, licensed in New Jersey (26NJ00532200) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alix Detullio Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alix Detullio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- 31 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07728 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
FREEHOLD, NJ 07728
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 Alix Detullio's NPI number?
The NPI number for Alix Detullio is 1043618747. It was assigned to this individual provider in the NPPES registry on December 11, 2014.
Where is Alix Detullio located?
Alix Detullio practices at 901 W Main St, Freehold, NJ 07728. The listed phone number is (732) 431-0023.
What is Alix Detullio's specialty?
The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Acute Care, with taxonomy code 364SA2100X.
Is Alix Detullio enrolled in Medicare?
Yes. Alix Detullio is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alix Detullio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alix Detullio reassigns Medicare benefits to Freehold Hospitalists, LLC (Freehold, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alix Detullio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alix Detullio accept?
Health plans from Oscar Health list Alix Detullio 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.
When was this NPI record last updated?
The NPPES record for Alix Detullio was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Alix Detullio, APN · NPI 1043618747
Acute Care physician in Freehold, New Jersey. Individual provider, active in the CMS NPPES registry since December 11, 2014.
## Identity
- **NPI:** 1043618747 (Entity type: Individual)
- **Enumerated:** December 11, 2014
- **Primary specialty:** Clinical Nurse Specialist - Acute Care · taxonomy 364SA2100X
- **State license:** 26NJ00532200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 W MAIN ST, Freehold, NJ 07728-2537
- **Phone:** (732) 431-0023
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Freehold Hospitalists, LLC (NPI 1831231463, Freehold, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1043618747) · Data from the CMS NPPES public registry.