MRS. KATHLEEN H SENECA APN
NPI 1093018798
Nurse Practitioner - Adult Health in Hillsborough, NJ

Active since December 19, 2010PECOS EnrolledAccepts Medicare Assignment
82.56/100
CMS Quality Rating
105 RAIDER BLVD, SUITE 101, HILLSBOROUGH, NJ 08844(908) 281-0221(908) 281-0940 Get Directions Write a Review

NPPES record last updated: March 31, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kathleen H Seneca Apn NPPES

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

MRS. KATHLEEN H SENECA APN (NPI 1093018798) is an individual adult health provider in Hillsborough, New Jersey, licensed in New Jersey (26NJ00314700) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093018798
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. KATHLEEN H SENECACredential: APN
Location Address105 RAIDER BLVD, SUITE 101Hillsborough, NJ 08844-1528
Mailing Address105 Raider Blvd, Suite 101Hillsborough, NJ 08844-1528 · (908) 281-0221
Fax(908) 281-0940
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 19, 2010
Last NPPES UpdateMarch 31, 2017
NPI 1093018798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in NJ · 26NJ00314700
105 RAIDER BLVD, Hillsborough, NJ 08844

Accepted Insurance

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

Mrs. Kathleen H Seneca Apn 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 ID5496932048
PECOS Enrollment IDI20110607000698
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 9

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.
143 services67 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.
68 services46 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
39 services24 patients
Insertion of needle into vein (3 years or older) 36410
This procedure involves placing a small needle into a vein, typically in the arm. It's done to collect blood for testing or to deliver medication. You may feel a quick pinch, but it's usually over in seconds. It's a common, safe procedure.
27 services16 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
25 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08844 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.4
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Internal Medicine (Endocrinology, Diabetes & Metabolism)
105 RAIDER BLVD, SUITE 200
HILLSBOROUGH, NJ 08844
Pharmacist (Infectious Diseases)
105 RAIDER BLVD
HILLSBOROUGH, NJ 08844
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Nurse Practitioner (Adult Health)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Nurse Practitioner
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844
Internal Medicine (Infectious Disease)
105 RAIDER BLVD, SUITE 101
HILLSBOROUGH, NJ 08844

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 Kathleen Seneca's NPI number?

The NPI number for Kathleen Seneca is 1093018798. It was assigned to this individual provider in the NPPES registry on December 19, 2010.

Where is Kathleen Seneca located?

Kathleen Seneca practices at 105 Raider Blvd Suite 101, Hillsborough, NJ 08844. The listed phone number is (908) 281-0221.

What is Kathleen Seneca's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Kathleen Seneca enrolled in Medicare?

Yes. Kathleen Seneca 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.

What insurance does Kathleen Seneca accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Kathleen Seneca 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 Kathleen Seneca was last updated on March 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.