NICOLE J LOPRINZI PA-C
NPI 1093383101
Physician Assistant in Ridgewood, NJ

Q: What is Nicole Loprinzi's NPI number?

The NPI number for Nicole Loprinzi is 1093383101. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Q: What is Nicole Loprinzi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Loprinzi was last updated on January 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2021PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

85 S MAPLE AVE, RIDGEWOOD, NJ 07450(201) 445-2830(201) 445-7471 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 2, 2024, Jun 22, 2021, Jun 16, 2021 (3 updates tracked since 2021).

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About Nicole J Loprinzi Pa-c NPPES

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

NICOLE J LOPRINZI PA-C (NPI 1093383101) is an individual physician assistant in Ridgewood, New Jersey, licensed in New Jersey (25MP00629600) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and maintains a secondary practice location in Englewood Cliffs.

NPPES Registry Identity

NPI1093383101

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE J LOPRINZICredential: PA-C

Location Address85 S MAPLE AVERidgewood, NJ 07450-4561

Mailing Address85 S Maple AveRidgewood, NJ 07450-4561 · (201) 445-2830 · Fax (201) 445-7471

Phone(201) 445-2830

Fax(201) 445-7471

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 15, 2021

Last NPPES UpdateJanuary 24, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 24, 2025

✔ NPI 1093383101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · 25MP00629600

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

85 S MAPLE AVE, Ridgewood, NJ 07450

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Secondary Practice Location 1

Location 1910 Sylvan Ave Ste 100Englewood Cliffs, NJ 07632-3308 · Phone (201) 569-2770

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

Nicole J Loprinzi Pa-c 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 ID4183022064

PECOS Enrollment IDI20211006002976

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 7

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 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.

94 services72 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

52 services37 patients

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323

Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.

27 services14 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

21 services18 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.

16 services16 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital

Acute Care Hospitals · Paramus, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310012

Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07450 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

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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.

94.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

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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.

AMMAR MUSTAFA

Physical Therapist