NICOLE MARIE VITRONE MSN, APRN, AGNP-C
NPI 1558046037
Nurse Practitioner - Adult Health in Pompton Plains, NJ

Q: What is Nicole Vitrone's NPI number?

The NPI number for Nicole Vitrone is 1558046037. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Q: What is Nicole Vitrone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Vitrone was last updated on March 28, 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.

Active since June 21, 2023PECOS EnrolledAccepts Medicare Assignment

242 W PARKWAY, POMPTON PLAINS, NJ 07444(862) 248-8166(862) 248-8166 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Nicole Marie Vitrone Msn, Aprn, Agnp-c NPPES

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

NICOLE MARIE VITRONE MSN, APRN, AGNP-C (NPI 1558046037) is an individual adult health provider in Pompton Plains, New Jersey, licensed in New Jersey (26NJ14858900) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and maintains a secondary practice location in Pompton Plains.

NPPES Registry Identity

NPI1558046037

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameNICOLE MARIE VITRONECredential: MSN, APRN, AGNP-C

Location Address242 W PARKWAYPompton Plains, NJ 07444-1029

Mailing AddressPo Box 416457Boston, MA 02241-6457

Phone(862) 248-8166

Fax(862) 248-8166

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 21, 2023

Last NPPES UpdateMarch 28, 2024

NPPES CertifiedMarch 28, 2024

✔ NPI 1558046037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NJ · 26NJ14858900

242 W PARKWAY, Pompton Plains, NJ 07444

Open in Google Maps ↗

Secondary Practice Location 1

Location 197 W ParkwayPompton Plains, NJ 07444-1647 · Phone (973) 831-5000

Accepted Insurance

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

Nicole Marie Vitrone Msn, Aprn, Agnp-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 ID5890146492

PECOS Enrollment IDI20240108005956

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

Medicare enrollment records show Nicole Vitrone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Passaic River Physicians, LLC

5.8 mi

Emergency Medicine

224 HAMBURG TPKE
Wayne, NJ 07470

Reassigned Medicare billing, New Jersey enrollment
138 clinicians in this Medicare group

NPI 1124788807 (973) 942-6900

Passaic River Observation, LLC

9.1 mi

Emergency Medicine

703 MAIN ST
Paterson, NJ 07503

Reassigned Medicare billing, New Jersey enrollment
78 clinicians in this Medicare group

NPI 1568113348 (973) 754-2000

Mpv New Jersey MD Services PC

15 mi

General Practice

250 OLD HOOK RD
Westwood, NJ 07675

Reassigned Medicare billing, New Jersey enrollment
189 clinicians in this Medicare group

NPI 1215391271 (201) 781-1387

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 5

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

183 services69 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

100 services53 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

46 services46 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

16 services16 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number310019

Location703 Main StPaterson, NJ 07503 · Passaic County

Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Hackensack Meridian Health Pascack Valley Medical

Acute Care Hospitals · Westwood, NJ

4/5 CMS rating

OwnershipProprietary

CMS Certification Number310130

Location250 Old Hook RoadWestwood, NJ 07675 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07444 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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 20

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

DR. TRACY L SENTOWSKI DPT

Physical Therapist

242 W PARKWAY
POMPTON PLAINS, NJ 07444

Morris County (973) 831-0717

STEFAN ADRIAN GILLEN DO

Psychiatry & Neurology (Epilepsy)

242 W PARKWAY
POMPTON PLAINS, NJ 07444

Morris County (862) 248-8100

DANIELLE TRIPODI PT, DPT

Physical Therapist

242 W PARKWAY
POMPTON PLAINS, NJ 07444

Morris County (973) 831-0717

MRS. LINDSAY JOY LINDQUIST PT, DPT

Clinic/Center (Physical Therapy)

242 W PARKWAY
POMPTON PLAINS, NJ 07444

Morris County (773) 472-2731

MR. ERNEST JOHN POMROY III MSPT

Physical Therapist

242 W PARKWAY
POMPTON PLAINS, NJ 07444

Morris County (973) 831-0717

GAUTAMI KONDAMODI RAO M.D.

Psychiatry & Neurology (Neurology)

242 W PARKWAY
POMPTON PLAINS, NJ 07444

Morris County (908) 522-2829

MICHAEL PETELICKI PT

Physical Therapist

242 W PARKWAY, SUITE 1
POMPTON PLAINS, NJ 07444

Morris County (973) 831-0717

DR. SARAH KHAN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

242 W PARKWAY
POMPTON PLAINS, NJ 07444

Morris County (862) 248-8165

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 Nicole Vitrone's NPI number?

The NPI number for Nicole Vitrone is 1558046037. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Nicole Vitrone located?

Nicole Vitrone practices at 242 W Parkway, Pompton Plains, NJ 07444. The listed phone number is (862) 248-8166.

What is Nicole Vitrone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nicole Vitrone enrolled in Medicare?

Yes. Nicole Vitrone 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 Nicole Vitrone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Vitrone reassigns Medicare benefits to 3 organizations: Passaic River Physicians, LLC (Wayne, NJ), Passaic River Observation, LLC (Paterson, NJ) and Mpv New Jersey MD Services PC (Westwood, 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 Nicole Vitrone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Vitrone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nicole Vitrone 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 Nicole Vitrone affiliated with any hospitals?

According to CMS data, Nicole Vitrone is affiliated with St Joseph's University Medical Center Inc, Englewood Hospital And Medical Center and Hackensack Meridian Health Pascack Valley Medical.

When was this NPI record last updated?

The NPPES record for Nicole Vitrone was last updated on March 28, 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.