NELLY MILDRED ADDISON
NPI 1063095826
Nurse Practitioner - Family in Manalapan, NJ
About Nelly Mildred Addison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NELLY MILDRED ADDISON (NPI 1063095826) is an individual family provider in Manalapan, New Jersey, licensed in New Jersey (26NJ01142600) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and is a graduate of Other (2020).
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 and accepts Medicare assignment
Nelly Mildred Addison 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.
Medicare Billing Reassignment
Medicare enrollment records show Nelly Addison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Brunswick, NJ 08901
- Reassigned Medicare billing, New Jersey enrollment
- 105 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Peter's University Hospital
Acute Care Hospitals · New Brunswick, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07726 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 3
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 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nelly Addison's NPI number?
The NPI number for Nelly Addison is 1063095826. It was assigned to this individual provider in the NPPES registry on April 29, 2021.
Where is Nelly Addison located?
Nelly Addison practices at 253 Gordons Corner Rd, Manalapan, NJ 07726. The listed phone number is (866) 389-2727.
What is Nelly Addison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nelly Addison enrolled in Medicare?
Yes. Nelly Addison 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.
Which organization bills Medicare for Nelly Addison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nelly Addison reassigns Medicare benefits to Saint Peter's Healthcare System Physician Associates (New Brunswick, 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 Nelly Addison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nelly Addison accept?
Health plans from Oscar Health list Nelly Addison 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 Nelly Addison affiliated with any hospitals?
According to CMS data, Nelly Addison is affiliated with Saint Peter's University Hospital and Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for Nelly Addison was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nelly Mildred Addison · NPI 1063095826
Family physician in Manalapan, New Jersey. Individual provider, active in the CMS NPPES registry since April 29, 2021.
## Identity
- **NPI:** 1063095826 (Entity type: Individual)
- **Enumerated:** April 29, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ01142600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 253 GORDONS CORNER RD, Manalapan, NJ 07726-3357
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Saint Peter's Healthcare System Physician Associates (NPI 1548569361, New Brunswick, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1063095826) · Data from the CMS NPPES public registry.