NELLY MILDRED ADDISON
NPI 1063095826
Nurse Practitioner - Family in Manalapan, NJ

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment
253 GORDONS CORNER RD, MANALAPAN, NJ 07726(866) 389-2727 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1063095826
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNELLY MILDRED ADDISON
Location Address253 GORDONS CORNER RDManalapan, NJ 07726-3357
Mailing Address253 Gordons Corner RdManalapan, NJ 07726-3357
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 29, 2021
NPPES CertifiedApril 29, 2021
NPI 1063095826 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
Licenses Licensed in NJ · 26NJ01142600 Licensed in NY · F347193
253 GORDONS CORNER RD, Manalapan, NJ 07726

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

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.

PECOS PAC ID4385046614
PECOS Enrollment IDI20210709000498
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 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.

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.
93 services76 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.
53 services46 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.
25 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services12 patients

Hospital Affiliations CMS Care Compare

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, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician 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.

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.

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.

Manual wheelchair accessory, wheel braking system and lock, complete, each E2228
DME-Wheelchairs · category DD021N
1 supplier11 claims21 services$55.17 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers13 claims13 services$22.14 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers13 claims13 services$6.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Pharmacist
253 GORDONS CORNER RD
MANALAPAN, NJ 07726
Nurse Practitioner (Family)
253 GORDONS CORNER RD
MANALAPAN, NJ 07726
Nurse Practitioner (Family)
253 GORDONS CORNER RD
MANALAPAN, NJ 07726
Nurse Practitioner (Family)
253 GORDONS CORNER RD, MINUTECLINIC
MANALAPAN, NJ 07726
Nurse Practitioner (Family)
253 GORDONS CORNER RD
MANALAPAN, NJ 07726
Nurse Practitioner (Family)
253 GORDONS CORNER RD
MANALAPAN, NJ 07726
Pharmacy
253 GORDONS CORNER RD
MANALAPAN, NJ 07726
Nurse Practitioner (Family)
253 GORDONS CORNER RD
MANALAPAN, NJ 07726

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.

Is Nelly Addison affiliated with any hospitals?

According to CMS data, Nelly Addison is affiliated with Saint Peter's University Hospital.

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.