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MRS. DANIELLE ELENA BLUTSTEIN APN
NPI 1396267035
Nurse Practitioner in Freehold, NJ

Active since July 14, 2017PECOS EnrolledAccepts Medicare Assignment
501 IRON BRIDGE RD STE 5, FREEHOLD, NJ 07728(732) 780-7603(732) 308-3323 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2022, Jun 30, 2021, Aug 11, 2017 and 1 more (4 updates tracked since 2017).

About Mrs. Danielle Elena Blutstein Apn NPPES

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

MRS. DANIELLE ELENA BLUTSTEIN APN (NPI 1396267035) is an individual nurse practitioner in Freehold, New Jersey, licensed in New Jersey (26NR16106000) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Belmar.

NPPES Registry Identity

NPI1396267035
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. DANIELLE ELENA BLUTSTEINCredential: APN
Location Address501 IRON BRIDGE RD STE 5Freehold, NJ 07728-5305
Mailing Address5 Ocean Ave Apt 9aBelmar, NJ 07719-2059 · (732) 501-5750
Phone(732) 780-7603
Fax(732) 308-3323
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 14, 2017
Last NPPES UpdateMarch 9, 20224 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1396267035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NR16106000
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 ListedRegistered NurseTaxonomy 163W00000X · License 26NR16106000 (NJ)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 26NJ00751300 (NJ)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00751300 (NJ)
501 IRON BRIDGE RD STE 5, Freehold, NJ 07728
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Secondary Practice Location 1

Location 15 Ocean Ave Apt 9ABelmar, NJ 07719-2059 · Phone (732) 501-5750 · Fax (732) 501-5750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Danielle Elena Blutstein 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 ID2466711205
PECOS Enrollment IDI20180124000333
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 Blutstein reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Summit Medical Group PA
31 mi
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
NPI 1942254347 (908) 273-4300
New Jersey Urology LLC
42 mi
Urology
1515 BROAD ST, SUITE B130
Bloomfield, NJ 07003
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group
NPI 1588822423 (973) 873-7000

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 4

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.
375 services257 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.
128 services123 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.
16 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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 6

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

DR. TROY SUKKARIEH MD
Urology
501 IRON BRIDGE RD STE 5
FREEHOLD, NJ 07728
Monmouth County (732) 780-7603
DR. WILLIAM KOHLBERG M.D.
Urology
501 IRON BRIDGE RD STE 5
FREEHOLD, NJ 07728
Monmouth County (732) 780-7603
DR. EMAD REMOND RIZKALA M.D.
Urology
501 IRON BRIDGE RD STE 5
FREEHOLD, NJ 07728
Monmouth County (732) 780-7603
ALEXANDER KIRSHENBAUM MD
Urology
501 IRON BRIDGE RD STE 5
FREEHOLD, NJ 07728
Monmouth County (732) 972-9000
DR. MATTHEW J PAGANO MD
Urology
501 IRON BRIDGE RD STE 5
FREEHOLD, NJ 07728
Monmouth County (732) 780-7603
DR. DOH YOON CHA M.D.
Urology
501 IRON BRIDGE RD STE 5
FREEHOLD, NJ 07728
Monmouth County (732) 780-7603

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 Blutstein's NPI number?

The NPI number for Danielle Blutstein is 1396267035. It was assigned to this individual provider in the NPPES registry on July 14, 2017.

Where is Danielle Blutstein located?

Danielle Blutstein practices at 501 Iron Bridge Rd Ste 5, Freehold, NJ 07728. The listed phone number is (732) 780-7603.

What is Danielle Blutstein's specialty?

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

Is Danielle Blutstein enrolled in Medicare?

Yes. Danielle Blutstein 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 Blutstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Blutstein reassigns Medicare benefits to 2 organizations: Summit Medical Group PA (Berkeley Heights, NJ) and New Jersey Urology LLC (Bloomfield, 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 Blutstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Blutstein accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Danielle Blutstein 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 Blutstein affiliated with any hospitals?

According to CMS data, Danielle Blutstein is affiliated with Raritan Bay Medical Center, Centrastate Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Danielle Blutstein was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.