MS. THIEL NICOLE HENNESSY APN
NPI 1457017816
Nurse Practitioner in Holmdel, NJ

Active since November 10, 2021PECOS EnrolledAccepts Medicare Assignment
735 N BEERS ST, HOLMDEL, NJ 07733(732) 739-5900(732) 922-6026 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 18, 2025, Nov 10, 2021 (2 updates tracked since 2021).

About Ms. Thiel Nicole Hennessy Apn NPPES

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

MS. THIEL NICOLE HENNESSY APN (NPI 1457017816) is an individual nurse practitioner in Holmdel, New Jersey, licensed in New Jersey (26NJ01167900) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1457017816
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. THIEL NICOLE HENNESSYCredential: APN
Location Address735 N BEERS STHolmdel, NJ 07733-1515
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Fax(732) 922-6026
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateNovember 10, 2021
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1457017816 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 · 26NJ01167900
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 · GerontologyTaxonomy 363LG0600X · License 26NJ01167900 (NJ)
735 N BEERS ST, Holmdel, NJ 07733

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. Thiel Nicole Hennessy 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 ID1355784067
PECOS Enrollment IDI20251002004414
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.

Hospital Affiliations CMS Care Compare 2

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · 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 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.

Other Providers at the Same Location NPPES

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

Orthopaedic Surgery
735 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 Thiel Hennessy's NPI number?

The NPI number for Thiel Hennessy is 1457017816. It was assigned to this individual provider in the NPPES registry on November 10, 2021.

Where is Thiel Hennessy located?

Thiel Hennessy practices at 735 N Beers St, Holmdel, NJ 07733. The listed phone number is (732) 739-5900.

What is Thiel Hennessy's specialty?

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

Is Thiel Hennessy enrolled in Medicare?

Yes. Thiel Hennessy 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.

Is Thiel Hennessy affiliated with any hospitals?

According to CMS data, Thiel Hennessy is affiliated with Jersey Shore University Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Thiel Hennessy was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.