MRS. AMY DERICKS LOBER APN
NPI 1104070135
Nurse Practitioner in Neptune, NJ
About Mrs. Amy Dericks Lober Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. AMY DERICKS LOBER APN (NPI 1104070135) is an individual nurse practitioner in Neptune, New Jersey, licensed in New Jersey (26NJ00174700) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
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
Mrs. Amy Dericks Lober 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.
Medicare Billing Reassignments
2Medicare enrollment records show Amy Lober reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hazlet, NJ 07730
- Reassigned Medicare billing, New Jersey enrollment
- 11 clinicians in this Medicare group
Somerset, NJ 08873
- Reassigned Medicare billing, New Jersey enrollment
- 7 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07753 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
NEPTUNE, NJ 07753
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 Amy Lober's NPI number?
The NPI number for Amy Lober is 1104070135. It was assigned to this individual provider in the NPPES registry on November 4, 2008.
Where is Amy Lober located?
Amy Lober practices at 1945 Rte 33 Cardiac Surgery, Neptune, NJ 07753. The listed phone number is (732) 776-4622.
What is Amy Lober's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Amy Lober enrolled in Medicare?
Yes. Amy Lober 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 organizations bill Medicare for Amy Lober's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Lober reassigns Medicare benefits to 2 organizations: Airport Plaza Spine & Wellness LLC (Hazlet, NJ) and Peak Wellness Center PC (Somerset, NJ). Each 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 Amy Lober's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Lober was last updated on November 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Mrs. Amy Dericks Lober, APN · NPI 1104070135
Nurse Practitioner physician in Neptune, New Jersey. Individual provider, active in the CMS NPPES registry since November 4, 2008.
## Identity
- **NPI:** 1104070135 (Entity type: Individual)
- **Enumerated:** November 4, 2008
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 26NJ00174700 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1945 RTE 33, CARDIAC SURGERY, Neptune, NJ 07753-4859
- **Phone:** (732) 776-4622
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Airport Plaza Spine & Wellness LLC (NPI 1881053197, Hazlet, NJ); Peak Wellness Center PC (NPI 1982498515, Somerset, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** November 4, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1104070135) · Data from the CMS NPPES public registry.