EMILY MARGARET CICCONE AGACNP
NPI 1558060277
Nurse Practitioner - Acute Care in Toms River, NJ

Active since March 02, 2023PECOS EnrolledAccepts Medicare Assignment
99 ROUTE 37 W, TOMS RIVER, NJ 08755(732) 570-4852 Get Directions Write a Review

NPPES record last updated: September 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 30, 2024, Mar 8, 2024, Mar 2, 2023 (3 updates tracked since 2023).

About Emily Margaret Ciccone Agacnp NPPES

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

EMILY MARGARET CICCONE AGACNP (NPI 1558060277) is an individual acute care provider in Toms River, New Jersey, licensed in New Jersey (26NJ01451000) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Neptune.

NPPES Registry Identity

NPI1558060277
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameEMILY MARGARET CICCONECredential: AGACNP
Location Address99 ROUTE 37 WToms River, NJ 08755-6423
Mailing Address331 Newman Springs Rd Ste 220Red Bank, NJ 07701-5792 · (732) 807-0877 · Fax (201) 751-1680
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 2, 2023
Last NPPES UpdateSeptember 30, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1558060277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ01451000
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 26NJ01451000 (NJ)
99 ROUTE 37 W, Toms River, NJ 08755

Secondary Practice Location 1

Location 11945 Rte 33Neptune, NJ 07753 · Phone (732) 775-5500

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

Emily Margaret Ciccone Agacnp 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 ID6608212733
PECOS Enrollment IDI20240312002420
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

3

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

Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 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
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 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.
75 services61 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.
30 services28 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
13 services13 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 08755 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 20

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

General Acute Care Hospital
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner (Family)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Registered Nurse (Registered Nurse First Assistant)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Pharmacist
99 ROUTE 37 W, CMC PHARMACY DEPT.
TOMS RIVER, NJ 08755
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755

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 Emily Ciccone's NPI number?

The NPI number for Emily Ciccone is 1558060277. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Emily Ciccone located?

Emily Ciccone practices at 99 Route 37 W, Toms River, NJ 08755. The listed phone number is (732) 570-4852.

What is Emily Ciccone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Emily Ciccone enrolled in Medicare?

Yes. Emily Ciccone 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 Emily Ciccone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Ciccone reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Rwjbh Observation Associates LLC (Livingston, 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 Emily Ciccone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Ciccone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Emily Ciccone 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 Emily Ciccone affiliated with any hospitals?

According to CMS data, Emily Ciccone is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Emily Ciccone was last updated on September 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.