MARGARET HOPKINS CNM
NPI 1467130591
Advanced Practice Midwife in Avon By The Sea, NJ

Active since July 10, 2023PECOS EnrolledAccepts Medicare Assignment
43 MAIN ST, STE 1A, AVON BY THE SEA, NJ 07717(732) 776-9790 Get Directions Write a Review

NPPES record last updated: July 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 30, 2024, Jul 10, 2023 (2 updates tracked since 2023).

About Margaret Hopkins Cnm NPPES

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

MARGARET HOPKINS CNM (NPI 1467130591) is an individual advanced practice midwife in Avon By The Sea, New Jersey, licensed in New Jersey (25ME00083301) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Silver, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1467130591
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMARGARET HOPKINSCredential: CNM
Location Address43 MAIN ST, STE 1AAvon By The Sea, NJ 07717-1000
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 10, 2023
Last NPPES UpdateJuly 30, 20242 updates tracked since enumeration
NPPES CertifiedJuly 30, 2024
✔ NPI 1467130591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NJ · 25ME00083301
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
43 MAIN ST, Avon By The Sea, NJ 07717

Secondary Practice Location 1

Location 134 Sycamore Ave Ste 2ALittle Silver, NJ 07739-1248 · Phone (732) 747-9310

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

Margaret Hopkins Cnm 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 ID1951742675
PECOS Enrollment IDI20240620003862
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 Margaret Hopkins reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
34 SYCAMORE AVE, 2A
Little Silver, NJ 07739
  • Reassigned Medicare billing, New Jersey enrollment
  • 18 clinicians in this Medicare group
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

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07717 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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 3

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

Advanced Practice Midwife
43 MAIN ST, SUITE 1A
AVON BY THE SEA, NJ 07717
Advanced Practice Midwife
43 MAIN ST, SUITE1A
AVON BY THE SEA, NJ 07717
Advanced Practice Midwife
43 MAIN ST, SUITE A
AVON BY THE SEA, NJ 07717

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 Margaret Hopkins's NPI number?

The NPI number for Margaret Hopkins is 1467130591. It was assigned to this individual provider in the NPPES registry on July 10, 2023.

Where is Margaret Hopkins located?

Margaret Hopkins practices at 43 Main St Ste 1A, Avon By The Sea, NJ 07717. The listed phone number is (732) 776-9790.

What is Margaret Hopkins's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Margaret Hopkins enrolled in Medicare?

Yes. Margaret Hopkins 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 Margaret Hopkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Hopkins reassigns Medicare benefits to 2 organizations: A Woman's Place, LLC (Little Silver, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Margaret Hopkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Hopkins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Margaret Hopkins 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.

When was this NPI record last updated?

The NPPES record for Margaret Hopkins was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.