CAROLINE MAGNUAL APN-C
NPI 1104687524
Nurse Practitioner - Adult Health in Rio Grande, NJ

Q: What is Caroline Magnual's NPI number?

The NPI number for Caroline Magnual is 1104687524. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Q: What is Caroline Magnual's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Caroline Magnual was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 22, 2024PECOS EnrolledAccepts Medicare Assignment

4011 ROUTE 9 S STE 201, RIO GRANDE, NJ 08242(609) 463-2273(609) 770-7729 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 16, 2024, Mar 5, 2024 (2 updates tracked since 2024).

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About Caroline Magnual Apn-c NPPES

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

CAROLINE MAGNUAL APN-C (NPI 1104687524) is an individual adult health provider in Rio Grande, New Jersey, licensed in New Jersey (26NJ14956700) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Southern Ocean Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104687524

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCAROLINE MAGNUALCredential: APN-C

Location Address4011 ROUTE 9 S STE 201Rio Grande, NJ 08242-1918

Mailing AddressPo Box 593Cape May Court House, NJ 08210-0593 · (609) 463-2755 · Fax (609) 463-2757

Phone(609) 463-2273

Fax(609) 770-7729

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 22, 2024

Last NPPES UpdateMay 16, 20242 updates tracked since enumeration

NPPES CertifiedMay 16, 2024

✔ NPI 1104687524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ14956700

Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ14956700 (NJ)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ14956700 (NJ)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ14956700 (NJ)

4011 ROUTE 9 S STE 201, Rio Grande, NJ 08242

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

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

Caroline Magnual Apn-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 ID5698113207

PECOS Enrollment IDI20240402001899

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.

Medicare Billing Reassignments

Medicare enrollment records show Caroline Magnual reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cape Physicians Associates PA

6.3 mi

Internal Medicine

11 VILLAGE DR
Cape May Court House, NJ 08210

Reassigned Medicare billing, New Jersey enrollment
111 clinicians in this Medicare group

NPI 1003805227 (609) 465-2273

Optum Medical Care Of New Jersey PC

136 mi

Pediatrics

1 DAKOTA DR
New Hyde Park, NY 11042

Reassigned Medicare billing, New Jersey enrollment
417 clinicians in this Medicare group

NPI 1578665048 (516) 627-1811

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

88 services79 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.

64 services62 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

29 services15 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.

17 services17 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

16 services16 patients

Hospital Affiliations CMS Care Compare

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

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310113

Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08242 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSE-TERNIE ANDRIS MD

Family Medicine

4011 ROUTE 9 S STE 201
RIO GRANDE, NJ 08242

Cape May County (609) 770-7788

MRS. AVRIL JONASSAINT-CATHIE APN

Nurse Practitioner (Family)

4011 ROUTE 9 S STE 201
RIO GRANDE, NJ 08242

Cape May County (609) 770-7788

ABIGAIL ELIZABETH SHEILDS PA

Physician Assistant

4011 ROUTE 9 S STE 201
RIO GRANDE, NJ 08242

Cape May County (609) 770-7788

ALECIA FOX NP

Nurse Practitioner

4011 ROUTE 9 S STE 201
RIO GRANDE, NJ 08242

Cape May County (609) 463-2273

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 Caroline Magnual's NPI number?

The NPI number for Caroline Magnual is 1104687524. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Caroline Magnual located?

Caroline Magnual practices at 4011 Route 9 S Ste 201, Rio Grande, NJ 08242. The listed phone number is (609) 463-2273.

What is Caroline Magnual's specialty?

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

Is Caroline Magnual enrolled in Medicare?

Yes. Caroline Magnual 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 Caroline Magnual's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caroline Magnual reassigns Medicare benefits to 2 organizations: Cape Physicians Associates PA (Cape May Court House, NJ) and Optum Medical Care Of New Jersey PC (New Hyde Park, NY). 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 Caroline Magnual's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caroline Magnual accept?

Health plans from Oscar Health list Caroline Magnual 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.

Is Caroline Magnual affiliated with any hospitals?

According to CMS data, Caroline Magnual is affiliated with Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Caroline Magnual was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.