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DANIELLE LOPER APN-C
NPI 1336731926
Nurse Practitioner in Cape May Court House, NJ

Active since February 05, 2021PECOS EnrolledAccepts Medicare Assignment
79.38/100
CMS Quality Rating
217 N MAIN ST STE 205, CAPE MAY COURT HOUSE, NJ 08210(609) 463-5440 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 3, 2024, Feb 5, 2021 (2 updates tracked since 2021).

About Danielle Loper Apn-c NPPES

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

DANIELLE LOPER APN-C (NPI 1336731926) is an individual nurse practitioner in Cape May Court House, New Jersey, licensed in New Jersey (26NJ01083300) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1336731926
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDANIELLE LOPERCredential: APN-C
Location Address217 N MAIN ST STE 205Cape May Court House, NJ 08210-2104
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107
Phone(609) 463-5440
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 5, 2021
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1336731926 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 · 26NJ01083300
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 · FamilyTaxonomy 363LF0000X · License 26NJ01083300 (NJ)
217 N MAIN ST STE 205, Cape May Court House, NJ 08210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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

Danielle Loper 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 ID8527474170
PECOS Enrollment IDI20210308000464
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 Danielle Loper 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
4.2 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
Cmc Department Of Medicine Group PA
50 mi
Neurology
1 PLAZA DR, CHAPEL HEIGHTS & HURFVILLE-CROSS KEYS ROADS
Sewell, NJ 08080
  • Reassigned Medicare billing, New Jersey enrollment
  • 399 clinicians in this Medicare group
NPI 1437281771 (856) 270-4080

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 7

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.
213 services127 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system 93288
An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.
134 services83 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system 93289
This procedure evaluates your implantable defibrillator system, which helps regulate your heart rhythm. It can involve single, dual, or multiple lead systems. It's essential to ensure the device is working correctly and adjusting to your heart's needs.
79 services30 patients
Evaluation of implantable heart and blood vessel monitoring system 93290
An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.
73 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
60 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services30 patients

Hospital Affiliations CMS Care Compare 4

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310032
Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County
Emergency services Birthing friendly

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08210 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.

79.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.8
Promoting Interoperability98
Improvement Activities40
Cost58.13

Other Providers at the Same Location NPPES 7

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

SAMANTHA SHERMAN APN
Nurse Practitioner
217 N MAIN ST STE 205
CAPE MAY COURT HOUSE, NJ 08210
Cape May County (609) 463-5440
DONNA J NORTON CRNP
Nurse Practitioner
217 N MAIN ST STE 205
CAPE MAY COURT HOUSE, NJ 08210
Cape May County (609) 463-5440
JUDI B KNUPP RD
Dietitian, Registered
217 N MAIN ST STE 205
CAPE MAY COURT HOUSE, NJ 08210
Cape May County (609) 463-5440
NICHOLE M CASTLE ARNP
Nurse Practitioner
217 N MAIN ST STE 205
CAPE MAY COURT HOUSE, NJ 08210
Cape May County (609) 463-5440
MICHAEL S NILLAS MD
Internal Medicine (Cardiovascular Disease)
217 N MAIN ST STE 205
CAPE MAY COURT HOUSE, NJ 08210
Cape May County (609) 463-5440
MATTHEW DIMEGLIO DO
Internal Medicine (Cardiovascular Disease)
217 N MAIN ST STE 205
CAPE MAY COURT HOUSE, NJ 08210
Cape May County (609) 463-5440
SCOTT H. PFEFFER D.O.
Internal Medicine (Cardiovascular Disease)
217 N MAIN ST STE 205
CAPE MAY COURT HOUSE, NJ 08210
Cape May County (609) 463-5440

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 Danielle Loper's NPI number?

The NPI number for Danielle Loper is 1336731926. It was assigned to this individual provider in the NPPES registry on February 5, 2021.

Where is Danielle Loper located?

Danielle Loper practices at 217 N Main St Ste 205, Cape May Court House, NJ 08210. The listed phone number is (609) 463-5440.

What is Danielle Loper's specialty?

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

Is Danielle Loper enrolled in Medicare?

Yes. Danielle Loper 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 Danielle Loper's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Loper reassigns Medicare benefits to 2 organizations: Cape Physicians Associates PA (Cape May Court House, NJ) and Cmc Department Of Medicine Group PA (Sewell, 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 Danielle Loper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Loper accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Danielle Loper 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 Danielle Loper affiliated with any hospitals?

According to CMS data, Danielle Loper is affiliated with Cape Regional Medical Center Inc, Cooper University Hospital, Inspira Medical Center Vineland and Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Danielle Loper was last updated on June 3, 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.