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MRS. MILAGROS N. LEDESMA APN-C
NPI 1245548551
Nurse Practitioner - Family in Brick, NJ

Active since September 21, 2010PECOS EnrolledAccepts Medicare Assignment
210 JACK MARTIN BLVD STE D-1, BRICK, NJ 08724(732) 458-5854(732) 458-8012 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Milagros N. Ledesma Apn-c NPPES

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

MRS. MILAGROS N. LEDESMA APN-C (NPI 1245548551) is an individual family provider in Brick, New Jersey, licensed in New Jersey (26NJ00301400) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1245548551
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MILAGROS N. LEDESMACredential: APN-C
Location Address210 JACK MARTIN BLVD STE D-1Brick, NJ 08724-7771
Mailing Address210 Jack Martin Blvd Ste D-1Brick, NJ 08724-7771 · (732) 458-5854 · Fax (732) 458-8012
Phone(732) 458-5854
Fax(732) 458-8012
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 21, 2010
Last NPPES UpdateAugust 29, 2019
✔ NPI 1245548551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ00301400
210 JACK MARTIN BLVD STE D-1, Brick, NJ 08724
Open in Google Maps ↗

Other Names 1

Former Name (1)Milagros Navarro

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

Mrs. Milagros N. Ledesma 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 ID3870764210
PECOS Enrollment IDI20110915000546
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

6

Medicare enrollment records show Milagros Ledesma reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Coast Medical Care LLC
7.0 mi
Internal Medicine
1163 RTE 37 W STE B1
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1326699596 (732) 341-7900
Manish Saini MD LLC
8.7 mi
Internal Medicine
1163 RTE 37 W, SUITE B1
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1699960674 (732) 341-7900
Garden State Internists LLC
14 mi
Internal Medicine
16 THOREAU DR
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
NPI 1790448850 (732) 761-0221
Atlas Medical Care,llc
15 mi
Internal Medicine
1001 W MAIN ST STE A
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
NPI 1689951592 (732) 637-8444
Atlas Senior Care LLC
15 mi
Primary Care
1001 W MAIN ST STE A
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1144112772 (732) 637-8444
Monmouth Family Health Center, Inc
17 mi
Federally Qualified Health Center (FQHC)
300 2ND AVE
Long Branch, NJ 07740
  • Reassigned Medicare billing, New Jersey enrollment
  • 37 clinicians in this Medicare group
NPI 1790974996 (732) 923-7100

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
889 services210 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
207 services124 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
17 services17 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
14 services14 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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 3

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

MARY JANE FRONDA CASTILLO MSN, CRNP
Nurse Practitioner
210 JACK MARTIN BLVD STE D-1
BRICK, NJ 08724
Ocean County (732) 458-5854
JO E AUSTIN NP-C
Nurse Practitioner (Adult Health)
210 JACK MARTIN BLVD STE D-1
BRICK, NJ 08724
Ocean County (732) 458-5854
DIRKSEN J. TAGUIAM MSN, APN-C
Nurse Practitioner
210 JACK MARTIN BLVD STE D-1
BRICK, NJ 08724
Ocean County (732) 458-5854

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 Milagros Ledesma's NPI number?

The NPI number for Milagros Ledesma is 1245548551. It was assigned to this individual provider in the NPPES registry on September 21, 2010. The provider is also known as Milagros Navarro.

Where is Milagros Ledesma located?

Milagros Ledesma practices at 210 Jack Martin Blvd Ste D-1, Brick, NJ 08724. The listed phone number is (732) 458-5854.

What is Milagros Ledesma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Milagros Ledesma enrolled in Medicare?

Yes. Milagros Ledesma 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 Milagros Ledesma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Milagros Ledesma reassigns Medicare benefits to 6 organizations: East Coast Medical Care LLC (Toms River, NJ), Manish Saini MD LLC (Toms River, NJ), Garden State Internists LLC (Freehold, NJ), Atlas Medical Care,llc (Freehold, NJ), Atlas Senior Care LLC (Freehold, NJ) and 1 more organization, listed in the Medicare section above. 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 Milagros Ledesma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Milagros Ledesma accept?

Health plans from Oscar Health list Milagros Ledesma 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 Milagros Ledesma was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.