APRIL LILLI ORTIZ APN
NPI 1114618196
Nurse Practitioner in Toms River, NJ

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment
99 ROUTE 37 W, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 15, 2026, May 18, 2023 (2 updates tracked since 2023).

About April Lilli Ortiz Apn NPPES

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

APRIL LILLI ORTIZ APN (NPI 1114618196) is an individual nurse practitioner in Toms River, New Jersey, licensed in New Jersey (26NJ14843900) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114618196
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAPRIL LILLI ORTIZCredential: APN
Location Address99 ROUTE 37 WToms River, NJ 08755-6423
Mailing Address5 Hedge StToms River, NJ 08753-6633 · (732) 604-0298
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 18, 2023
Last NPPES UpdateApril 15, 20262 updates tracked since enumeration
NPPES CertifiedApril 15, 2026
✔ NPI 1114618196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ14843900
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ14843900 (NJ)
99 ROUTE 37 W, Toms River, NJ 08755

Accepted 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

April Lilli Ortiz 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 ID1658728654
PECOS Enrollment IDI20231113003701
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

2

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

Infectious Disease
1163 ROUTE 37 W, SUITE A-1
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 clinicians in this Medicare group
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 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.

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,667 services643 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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 20

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

General Acute Care Hospital
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner (Family)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Registered Nurse (Registered Nurse First Assistant)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Pharmacist
99 ROUTE 37 W, CMC PHARMACY DEPT.
TOMS RIVER, NJ 08755
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755

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 April Ortiz's NPI number?

The NPI number for April Ortiz is 1114618196. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is April Ortiz located?

April Ortiz practices at 99 Route 37 W, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is April Ortiz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is April Ortiz enrolled in Medicare?

Yes. April Ortiz 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 April Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), April Ortiz reassigns Medicare benefits to 2 organizations: Olivia T. Ortiz MD PA (Toms River, NJ) and Barnabas Health Medical Group, PC (West Orange, 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 April Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does April Ortiz accept?

Health plans from Oscar Health list April Ortiz 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 April Ortiz affiliated with any hospitals?

According to CMS data, April Ortiz is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for April Ortiz was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.