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DANIELLE PAYTON FNP-C
NPI 1639043243
Nurse Practitioner - Family in Point Pleasant Boro, NJ

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment
1313 RIVER AVE, POINT PLEASANT BORO, NJ 08742(848) 420-0447 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Danielle Payton Fnp-c NPPES

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

DANIELLE PAYTON FNP-C (NPI 1639043243) is an individual family provider in Point Pleasant Boro, New Jersey, licensed in New Jersey (26NJ15435200) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639043243
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE PAYTONCredential: FNP-C
Location Address1313 RIVER AVEPoint Pleasant Boro, NJ 08742-4366
Mailing Address1313 River AvePoint Pleasant Boro, NJ 08742-4366 · (848) 420-0447
Phone(848) 420-0447
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1639043243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15435200
1313 RIVER AVE, Point Pleasant Boro, NJ 08742
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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

Danielle Payton Fnp-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 ID7416438676
PECOS Enrollment IDI20260225002809
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 Danielle Payton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rwjbh Emergency Medicine Associates, LLC
40 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618
Rwjbh Observation Associates LLC
49 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08742 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.

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 Danielle Payton's NPI number?

The NPI number for Danielle Payton is 1639043243. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Danielle Payton located?

Danielle Payton practices at 1313 River Ave, Point Pleasant Boro, NJ 08742. The listed phone number is (848) 420-0447.

What is Danielle Payton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Danielle Payton enrolled in Medicare?

Yes. Danielle Payton 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 Danielle Payton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Payton reassigns Medicare benefits to 2 organizations: 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 Danielle Payton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danielle Payton was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.