NICOLE PFEIFFER CRNP
NPI 1255938163
Nurse Practitioner - Gerontology in Lakewood, NJ

Active since October 04, 2020PECOS Enrolled
75/100
CMS Quality Rating
456 CHESTNUT ST, LAKEWOOD, NJ 08701(732) 282-7200(732) 282-7300 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2026, Oct 4, 2020 (2 updates tracked since 2020).

About Nicole Pfeiffer Crnp NPPES

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

NICOLE PFEIFFER CRNP (NPI 1255938163) is an individual gerontology provider in Lakewood, New Jersey, licensed in Pennsylvania (SP022484) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255938163
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameNICOLE PFEIFFERCredential: CRNP
Location Address456 CHESTNUT STLakewood, NJ 08701-6124
Mailing Address456 Chestnut StLakewood, NJ 08701-6124 · (732) 282-7200 · Fax (732) 282-7300
Fax(732) 282-7300
Sole ProprietorNo
Enumeration DateOctober 4, 2020
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1255938163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in PA · SP022484
456 CHESTNUT ST, Lakewood, NJ 08701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Pfeiffer Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Nicole Pfeiffer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
456 CHESTNUT ST STE 102
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 101 clinicians in this Medicare group
Nurse Practitioner
45 LOGGERS MILL RD
Horsham, PA 19044
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 36 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 24 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 9

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.
1,226 services220 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.
550 services169 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
230 services205 patients
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.
165 services29 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.
136 services40 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
128 services125 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims336 services$4.19 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,783 services$0.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Audiologist-Hearing Aid Fitter
456 CHESTNUT ST, SUITE 303
LAKEWOOD, NJ 08701
Nurse Practitioner
456 CHESTNUT ST, SUITE 201
LAKEWOOD, NJ 08701
Nurse Practitioner
456 CHESTNUT ST
LAKEWOOD, NJ 08701
Nurse Practitioner (Adult Health)
456 CHESTNUT ST
LAKEWOOD, NJ 08701
Audiologist-Hearing Aid Fitter
456 CHESTNUT ST, SUITE 303
LAKEWOOD, NJ 08701
Nurse Practitioner
456 CHESTNUT ST
LAKEWOOD, NJ 08701
Nurse Practitioner
456 CHESTNUT ST
LAKEWOOD, NJ 08701
Nurse Practitioner
456 CHESTNUT ST, SUITE 201
LAKEWOOD, NJ 08701

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 Nicole Pfeiffer's NPI number?

The NPI number for Nicole Pfeiffer is 1255938163. It was assigned to this individual provider in the NPPES registry on October 4, 2020.

Where is Nicole Pfeiffer located?

Nicole Pfeiffer practices at 456 Chestnut St, Lakewood, NJ 08701. The listed phone number is (732) 282-7200.

What is Nicole Pfeiffer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Nicole Pfeiffer enrolled in Medicare?

Yes. Nicole Pfeiffer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Pfeiffer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Pfeiffer reassigns Medicare benefits to 3 organizations: Personal Np Services, LLC (Lakewood, NJ), Vitality Np Group LLC (Horsham, PA) and Provider Partners Care Management LP (Columbia, MD). 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 Nicole Pfeiffer'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 Nicole Pfeiffer was last updated on April 22, 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.