MRS. MARY ADDEZIO APN
NPI 1073409991
Nurse Practitioner - Family in Trenton, NJ

Q: What is Mary Addezio's NPI number?

The NPI number for Mary Addezio is 1073409991. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Q: What is Mary Addezio's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Addezio was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 16, 2025PECOS Enrolled

1 HAMILTON HEALTH PL, TRENTON, NJ 08690(856) 979-7939 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jun 16, 2025 (2 updates tracked since 2025).

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About Mrs. Mary Addezio Apn NPPES

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

MRS. MARY ADDEZIO APN (NPI 1073409991) is an individual family provider in Trenton, New Jersey, licensed in New Jersey (26NJ15249300) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Trenton, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073409991

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. MARY ADDEZIOCredential: APN

Location Address1 HAMILTON HEALTH PLTrenton, NJ 08690-3542

Mailing Address11 Marshall WayTabernacle, NJ 08088-8740 · (856) 979-7939

Phone(856) 979-7939

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 16, 2025

Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2025

✔ NPI 1073409991 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 · 26NJ15249300

1 HAMILTON HEALTH PL, Trenton, NJ 08690

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Secondary Practice Location 1

Location 11374 Whitehorse Hamilton Square RdTrenton, NJ 08690-3701 · Phone (609) 586-1319

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Mary Addezio Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890285803

PECOS Enrollment IDI20251107002359

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 08690 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.

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