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MARIE L NELSON NP
NPI 1497448310
Psychiatry & Neurology - Psychiatry in Freehold, NJ

Active since May 26, 2023PECOS EnrolledAccepts Medicare Assignment
80 SCENIC DR STE 8, FREEHOLD, NJ 07728(732) 538-8424 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie L Nelson Np NPPES

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

MARIE L NELSON NP (NPI 1497448310) is an individual psychiatry provider in Freehold, New Jersey, licensed in New Jersey (26NJ01476500) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Centrastate Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497448310
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMARIE L NELSONCredential: NP
Location Address80 SCENIC DR STE 8Freehold, NJ 07728-5211
Mailing Address80 Scenic Dr Ste 8Freehold, NJ 07728-5211
Phone(732) 538-8424
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1497448310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · 26NJ01476500
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
80 SCENIC DR STE 8, Freehold, NJ 07728
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Providence Health Plan.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

Marie L Nelson Np 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 ID6800243924
PECOS Enrollment IDI20231113000119
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 7

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.
1,187 services253 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
527 services71 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
242 services242 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
114 services39 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
37 services13 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
31 services31 patients

Hospital Affiliations CMS Care Compare

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

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
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 7

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

NICOLE MESSINK LPC
Counselor (Professional)
80 SCENIC DR STE 8
FREEHOLD, NJ 07728
Monmouth County (732) 538-8424
CHIMENA PEACE DUKE APN
Nurse Practitioner (Psychiatric/Mental Health)
80 SCENIC DR STE 8
FREEHOLD, NJ 07728
Monmouth County (732) 538-8424
DIANE RENE-OSTER RN
Nurse Practitioner (Psychiatric/Mental Health)
80 SCENIC DR STE 8
FREEHOLD, NJ 07728
Monmouth County (732) 538-8424
BENJAMIN JOSEPH CATALDI LPC
Counselor (Professional)
80 SCENIC DR STE 8
FREEHOLD, NJ 07728
Monmouth County (732) 538-8424
MIKAYLA STILES
Social Worker
80 SCENIC DR STE 8
FREEHOLD, NJ 07728
Monmouth County (732) 538-8434
KATIE PILTZ LSW
Social Worker
80 SCENIC DR STE 8
FREEHOLD, NJ 07728
Monmouth County (732) 538-8424
MEGAN AILEEN MIHAI
Social Worker (Clinical)
80 SCENIC DR STE 8
FREEHOLD, NJ 07728
Monmouth County (732) 538-8424

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 Marie Nelson's NPI number?

The NPI number for Marie Nelson is 1497448310. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Marie Nelson located?

Marie Nelson practices at 80 Scenic Dr Ste 8, Freehold, NJ 07728. The listed phone number is (732) 538-8424.

What is Marie Nelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Marie Nelson enrolled in Medicare?

Yes. Marie 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.

What insurance does Marie Nelson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Providence Health Plan list Marie 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 Marie Nelson affiliated with any hospitals?

According to CMS data, Marie Nelson is affiliated with Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Marie Nelson was last updated on May 26, 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.