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MILAGROS CAPPA CRNP
NPI 1588847172
Clinical Nurse Specialist - Oncology in Middletown, NJ

Active since December 06, 2007PECOS EnrolledAccepts Medicare Assignment
480 RED HILL RD, MIDDLETOWN, NJ 07748(646) 227-3813 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 17, 2024, Jan 29, 2019 (2 updates tracked since 2019).

About Milagros Cappa Crnp NPPES

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

MILAGROS CAPPA CRNP (NPI 1588847172) is an individual oncology provider in Middletown, New Jersey, licensed in New Jersey (26NJ00442600) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1588847172
Entity TypeIndividualFemale
Primary Taxonomy364SX0200X
Provider Legal NameMILAGROS CAPPACredential: CRNP
Location Address480 RED HILL RDMiddletown, NJ 07748-3052
Mailing Address633 3rd Ave, Mskcc-pbd/3rd FlNew York, NY 10017-6785 · (646) 227-3813
Phone(646) 227-3813
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 6, 2007
Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1588847172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · OncologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SX0200X
License✔ Licensed in NJ · 26NJ00442600
480 RED HILL RD, Middletown, NJ 07748
Open in Google Maps ↗

Accepted Insurance

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

Milagros Cappa Crnp 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 ID5193809234
PECOS Enrollment IDI20140804001520
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 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.

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.
111 services82 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.
79 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07748 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
89%76 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
43%130 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
65%130 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers18 claims1,428 services$0.82 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers14 claims14 services$18.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. JACOB SHIN M.D.
Radiology (Radiation Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6436
RAQUEL C BARRETO
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (646) 227-3742
SUZANNE PENNA MSN, RN
Registered Nurse (Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (646) 888-2629
ALLAN MARIANO
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6000
DR. NICOLE BERARDONI SAPHIER M.D.
Radiology (Diagnostic Radiology)
480 RED HILL RD, MEMORIAL SLOAN KETTERING CANCER CENTER
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6304
PAULINE BETTY MOCK PHARMD
Pharmacist
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 228-6050
MRS. JESSICA ELANA DOMB NP
Nurse Practitioner (Family)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6265
DR. KRISTINE PEREGRINO LACUNA
Internal Medicine (Medical Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (929) 452-1176

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 Milagros Cappa's NPI number?

The NPI number for Milagros Cappa is 1588847172. It was assigned to this individual provider in the NPPES registry on December 6, 2007.

Where is Milagros Cappa located?

Milagros Cappa practices at 480 Red Hill Rd, Middletown, NJ 07748. The listed phone number is (646) 227-3813.

What is Milagros Cappa's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Oncology, with taxonomy code 364SX0200X.

Is Milagros Cappa enrolled in Medicare?

Yes. Milagros Cappa 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 Milagros Cappa accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Milagros Cappa 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 Milagros Cappa affiliated with any hospitals?

According to CMS data, Milagros Cappa is affiliated with Robert Wood Johnson University Hospital and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Milagros Cappa was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.