MRS. ARBIE MARIE BARAWID RAMOS APN-C
NPI 1518414804
Nurse Practitioner in Toms River, NJ

Active since September 05, 2016PECOS EnrolledAccepts Medicare Assignment
1083 SCHENCKS MILL LINE RD, TOMS RIVER, NJ 08753(732) 341-6814 Get Directions Write a Review

NPPES record last updated: September 5, 2016. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Arbie Marie Barawid Ramos Apn-c NPPES

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

MRS. ARBIE MARIE BARAWID RAMOS APN-C (NPI 1518414804) is an individual nurse practitioner in Toms River, New Jersey, licensed in New Jersey (26NJ00666800) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1518414804
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. ARBIE MARIE BARAWID RAMOSCredential: APN-C
Location Address1083 SCHENCKS MILL LINE RDToms River, NJ 08753-3320
Mailing Address1083 Schencks Mill Line RdToms River, NJ 08753-3320 · (732) 341-6814
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 5, 2016
✔ NPI 1518414804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00666800
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.
1083 SCHENCKS MILL LINE RD, Toms River, NJ 08753

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

Mrs. Arbie Marie Barawid Ramos Apn-c 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 ID2769752161
PECOS Enrollment IDI20170718001550
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 Arbie Marie Ramos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
40 BEY LEA RD, SUITE B 102
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 7 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 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.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
126 services121 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
73 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services16 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 08753 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
66%35 patients3/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Arbie Marie Ramos's NPI number?

The NPI number for Arbie Marie Ramos is 1518414804. It was assigned to this individual provider in the NPPES registry on September 5, 2016.

Where is Arbie Marie Ramos located?

Arbie Marie Ramos practices at 1083 Schencks Mill Line Rd, Toms River, NJ 08753. The listed phone number is (732) 341-6814.

What is Arbie Marie Ramos's specialty?

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

Is Arbie Marie Ramos enrolled in Medicare?

Yes. Arbie Marie Ramos 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 Arbie Marie Ramos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arbie Marie Ramos reassigns Medicare benefits to 2 organizations: Advanced Cancer Care Of New Jersey,pc (Toms River, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, 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 Arbie Marie Ramos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Arbie Marie Ramos affiliated with any hospitals?

According to CMS data, Arbie Marie Ramos is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Arbie Marie Ramos was last updated on September 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.