1. Home
  2. Directory
  3. New Jersey
  4. Brick
  5. Nurse Practitioner
  6. NPI Profile

MS. CAITLIN THERESE TUMMINELLI APN
NPI 1417315862
Nurse Practitioner - Adult Health in Brick, NJ

Active since January 31, 2016PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1541 ROUTE 88, BRICK, NJ 08724(732) 836-3200 Get Directions Write a Review

NPPES record last updated: April 18, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 18, 2018, Jan 31, 2016 (2 updates tracked since 2016).

About Ms. Caitlin Therese Tumminelli Apn NPPES

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

MS. CAITLIN THERESE TUMMINELLI APN (NPI 1417315862) is an individual adult health provider in Brick, New Jersey, licensed in New Jersey (26NJ00610100) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1417315862
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. CAITLIN THERESE TUMMINELLICredential: APN
Location Address1541 ROUTE 88Brick, NJ 08724-2373
Mailing Address424 S Main StForked River, NJ 08731-4654 · (609) 971-3500 · Fax (609) 971-3545
Phone(732) 836-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 31, 2016
Last NPPES UpdateApril 18, 20182 updates tracked since enumeration
✔ NPI 1417315862 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 · 26NJ00610100
1541 ROUTE 88, Brick, NJ 08724
Open in Google Maps ↗

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Caitlin Therese Tumminelli 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 ID6709141690
PECOS Enrollment IDI20180524000018
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
397 services253 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
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.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

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.

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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

JERSEY COAST NEPHROLOGY AND HYPERTENSION ASSOCIATES LLC
Internal Medicine (Nephrology)
1541 ROUTE 88, SUITE A
BRICK, NJ 08724
Ocean County (732) 836-3200

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 Caitlin Tumminelli's NPI number?

The NPI number for Caitlin Tumminelli is 1417315862. It was assigned to this individual provider in the NPPES registry on January 31, 2016.

Where is Caitlin Tumminelli located?

Caitlin Tumminelli practices at 1541 Route 88, Brick, NJ 08724. The listed phone number is (732) 836-3200.

What is Caitlin Tumminelli's specialty?

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

Is Caitlin Tumminelli enrolled in Medicare?

Yes. Caitlin Tumminelli 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.

What insurance does Caitlin Tumminelli accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Caitlin Tumminelli 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 Caitlin Tumminelli affiliated with any hospitals?

According to CMS data, Caitlin Tumminelli is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Caitlin Tumminelli was last updated on April 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.