ALTHEA HILL-PAYNE APN
NPI 1417429770
Nurse Practitioner - Primary Care in Holmdel, NJ

Active since December 27, 2018PECOS EnrolledAccepts Medicare Assignment
727 N BEERS ST, HOLMDEL, NJ 07733(908) 692-9348 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 8, 2021, Mar 23, 2021, Dec 27, 2018 (3 updates tracked since 2018).

About Althea Hill-payne Apn NPPES

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

ALTHEA HILL-PAYNE APN (NPI 1417429770) is an individual primary care provider in Holmdel, New Jersey, licensed in New Jersey (26NJ00869900) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and maintains a secondary practice location in Colonia.

NPPES Registry Identity

NPI1417429770
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameALTHEA HILL-PAYNECredential: APN
Location Address727 N BEERS STHolmdel, NJ 07733-1514
Mailing Address50 E Locust AveColonia, NJ 07067-1409 · (908) 494-3055
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 27, 2018
Last NPPES UpdateJune 8, 20213 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1417429770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NJ00869900
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ00869900 (NJ)
727 N BEERS ST, Holmdel, NJ 07733

Secondary Practice Location 1

Location 150 E Locust AveColonia, NJ 07067-1409 · Phone (908) 494-3055

Accepted 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

Althea Hill-payne 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 ID5193131837
PECOS Enrollment IDI20210304001338
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 Althea Hill-payne reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
Family Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 164 clinicians in this Medicare group
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 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.

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07733 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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier37 claims37 services$61.40 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier34 claims34 services$30.70 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 20

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

Anesthesiology
727 N BEERS ST
HOLMDEL, NJ 07733
Physician Assistant
727 N BEERS ST
HOLMDEL, NJ 07733
Speech-Language Pathologist
727 N BEERS ST
HOLMDEL, NJ 07733
General Acute Care Hospital (Rural)
727 N BEERS ST
HOLMDEL, NJ 07733
Emergency Medicine
727 N BEERS ST, BAYSHORE COMMUNITY HOSPITAL (EMERGENCY DEPARTMENT)
HOLMDEL, NJ 07733
Surgery
727 N BEERS ST, SUITE 2 EAST
HOLMDEL, NJ 07733
Counselor (Mental Health)
727 N BEERS ST
HOLMDEL, NJ 07733
Emergency Medicine
727 N BEERS ST
HOLMDEL, NJ 07733

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 Althea Hill-payne's NPI number?

The NPI number for Althea Hill-payne is 1417429770. It was assigned to this individual provider in the NPPES registry on December 27, 2018.

Where is Althea Hill-payne located?

Althea Hill-payne practices at 727 N Beers St, Holmdel, NJ 07733. The listed phone number is (908) 692-9348.

What is Althea Hill-payne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Althea Hill-payne enrolled in Medicare?

Yes. Althea Hill-payne 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 Althea Hill-payne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Althea Hill-payne reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Hmh Hospitals Corporation (Edison, NJ) and Medical Associates Of Englewood, PC (Englewood, 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 Althea Hill-payne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Althea Hill-payne accept?

Health plans from Oscar Health list Althea Hill-payne 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 Althea Hill-payne affiliated with any hospitals?

According to CMS data, Althea Hill-payne is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Althea Hill-payne was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.