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MRS. CAROLYN ANN NELSON APN
NPI 1407199086
Nurse Practitioner - Adult Health in Egg Harbor Township, NJ

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
2500 ENGLISH CREEK AVE, BLDG 900, STE 904, EGG HARBOR TOWNSHIP, NJ 08234(609) 407-2243 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Carolyn Ann Nelson Apn NPPES

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

MRS. CAROLYN ANN NELSON APN (NPI 1407199086) is an individual adult health provider in Egg Harbor Township, New Jersey, licensed in New Jersey (26NJ00457500) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and maintains a secondary practice location in Somers Point.

NPPES Registry Identity

NPI1407199086
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. CAROLYN ANN NELSONCredential: APN
Location Address2500 ENGLISH CREEK AVE, BLDG 900, STE 904Egg Harbor Township, NJ 08234
Mailing Address3600 Route 66, 3rd FlNeptune, NJ 07753-2645
Phone(609) 407-2243
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1407199086 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00457500
2500 ENGLISH CREEK AVE, Egg Harbor Township, NJ 08234
Open in Google Maps ↗

Secondary Practice Location 1

Location 1408 Bethel RdSomers Point, NJ 08244-2172 · Phone (609) 926-3330

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. Carolyn Ann Nelson 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 ID5597993279
PECOS Enrollment IDI20140103000222
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 Carolyn Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Atlanticare Physician Group PA
Same address
Clinic/Center
2500 ENGLISH CREEK AVE STE 602
Egg Harbor Township, NJ 08234
  • Reassigned Medicare billing, New Jersey enrollment
  • 921 clinicians in this Medicare group
NPI 1093829608 (800) 658-1010
Allied Digestive Health, LLC
66 mi
Gastroenterology
187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764
  • Reassigned Medicare billing, New Jersey enrollment
  • 406 clinicians in this Medicare group
NPI 1265831259 (732) 222-3805

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 3

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 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.
705 services135 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.
461 services112 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
58 services57 patients

Hospital Affiliations CMS Care Compare 2

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

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 08234 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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

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.

SAMUEL NILES SCHRADER MD
Orthopaedic Surgery (Hand Surgery)
2500 ENGLISH CREEK AVE, BLDG 1300
EGG HARBOR TWP, NJ 08234
Atlantic County (800) 321-9999
THOMAS DENIS GEARY PA-C
Physician Assistant (Surgical)
2500 ENGLISH CREEK AVE, BUILDING D
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 677-6060
MARIANNE HERMAN APN
Nurse Practitioner
2500 ENGLISH CREEK AVE
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 677-7731
MS. DONNA ANN SCHROEDER ACNP
Nurse Practitioner (Acute Care)
2500 ENGLISH CREEK AVE, BUILDING 200-SUITE 211
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 677-7776
LINDA SCHULER LPC
Counselor (Professional)
2500 ENGLISH CREEK AVE, BLDG 900, STE 905
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 833-9933
ROBERT J WEISS MD
Preventive Medicine (Occupational Medicine)
2500 ENGLISH CREEK AVE, BUILDING 900
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 677-7200
JERSEY SHORE GASTOENTEROLOGY
Non-Pharmacy Dispensing Site
2500 ENGLISH CREEK AVE, SUITE 903
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 645-1880
MS. GINA MARIE DELEO APN
Nurse Practitioner
2500 ENGLISH CREEK AVE, BUILDING 400 2ND FL
EGG HARBOR TOWNSHIP, NJ 08234
Atlantic County (609) 677-7777

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 Carolyn Nelson's NPI number?

The NPI number for Carolyn Nelson is 1407199086. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Carolyn Nelson located?

Carolyn Nelson practices at 2500 English Creek Ave Bldg 900, Ste 904, Egg Harbor Township, NJ 08234. The listed phone number is (609) 407-2243.

What is Carolyn Nelson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Carolyn Nelson enrolled in Medicare?

Yes. Carolyn Nelson 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 Carolyn Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Nelson reassigns Medicare benefits to 2 organizations: Atlanticare Physician Group PA (Egg Harbor Township, NJ) and Allied Digestive Health, LLC (West Long Beach, 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 Carolyn Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Nelson accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carolyn Nelson 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 Carolyn Nelson affiliated with any hospitals?

According to CMS data, Carolyn Nelson is affiliated with Cape Regional Medical Center Inc and Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Carolyn Nelson was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.