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NICOLE PIVONKA BSN, RN
NPI 1649823519
Nurse Practitioner in Voorhees, NJ

Active since July 19, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
158 ROUTE 73 STE B, VOORHEES, NJ 08043(856) 247-7230(856) 247-7231 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Sep 24, 2024, Oct 19, 2020 and 2 more (5 updates tracked since 2019).

About Nicole Pivonka Bsn, Rn NPPES

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

NICOLE PIVONKA BSN, RN (NPI 1649823519) is an individual nurse practitioner in Voorhees, New Jersey, licensed in New Jersey (26NJ00986300) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1649823519
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE PIVONKACredential: BSN, RN
Location Address158 ROUTE 73 STE BVoorhees, NJ 08043-9539
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 355-0340 · Fax (856) 355-0330
Phone(856) 247-7230
Fax(856) 247-7231
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 19, 2019
Last NPPES UpdateJanuary 7, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1649823519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00986300
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.
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 26NR18617100 (NJ)
158 ROUTE 73 STE B, Voorhees, NJ 08043
Open in Google Maps ↗

Secondary Practice Locations 7

Location 1141 Bridgeton Pike Unit BMullica Hill, NJ 08062-2615 · Phone (856) 746-0206 · Fax (856) 746-0207
Location 2239 Hurffville Crosskeys Rd Ste 160Sewell, NJ 08080-4005 · Phone (856) 341-8200 · Fax (856) 341-8215
Location 3602 W Cuthbert Blvd Unit 26Haddon Township, NJ 08108-3642 · Phone (856) 946-5180 · Fax (856) 946-5181
Location 4315 Marlton Pike ECherry Hill, NJ 08034-2408 · Phone (856) 375-6240 · Fax (856) 375-6241
Location 5401 Young Avenue Suite 180 FrontMoorestown, NJ 08057 · Phone (856) 291-8600 · Fax (856) 291-8610
Location 6555 High St Ste 16AMount Holly, NJ 08060-1084 · Phone (609) 444-5610 · Fax (609) 444-5611
Location 7128 Route 70 Ste 1Medford, NJ 08055-2371 · Phone (609) 367-0900 · Fax (609) 367-0901

Other Identifiers 1

Medicaid0726702NJ

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 Pivonka Bsn, Rn 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 ID5092141234
PECOS Enrollment IDI20200206000038
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 Reassignment

Medicare enrollment records show Nicole Pivonka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Virtua Medical Group, PA
Same address
Urgent Care
158 ROUTE 73 STE B
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1912457755 (856) 247-7230

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 8

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 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.
287 services271 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
103 services52 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
73 services73 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.
60 services60 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
44 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08043 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

MRS. SHAREE C MORGAN APN
Nurse Practitioner (Family)
158 ROUTE 73 STE B
VOORHEES, NJ 08043
Camden County (856) 247-7230
DR. EDWARD A RAMOSKA MD
Emergency Medicine
158 ROUTE 73 STE B
VOORHEES, NJ 08043
Camden County (856) 247-7230
MALLORY HONEYWELL
Nurse Practitioner (Family)
158 ROUTE 73 STE B
VOORHEES, NJ 08043
Camden County (856) 247-7230
MRS. LYUDMILA O SCHOWGUROW NURSE PRACTITIONER
Nurse Practitioner (Family)
158 ROUTE 73 STE B
VOORHEES, NJ 08043
Camden County (856) 247-7230
MELISSA F SOUZA APRN,BC
Nurse Practitioner (Psychiatric/Mental Health)
158 ROUTE 73 STE B
VOORHEES, NJ 08043
Camden County (856) 247-7230
VIRTUA MEDICAL GROUP, PA
Clinic/Center (Urgent Care)
158 ROUTE 73 STE B
VOORHEES, NJ 08043
Camden County (856) 247-7230

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 Pivonka's NPI number?

The NPI number for Nicole Pivonka is 1649823519. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Nicole Pivonka located?

Nicole Pivonka practices at 158 Route 73 Ste B, Voorhees, NJ 08043. The listed phone number is (856) 247-7230.

What is Nicole Pivonka's specialty?

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

Is Nicole Pivonka enrolled in Medicare?

Yes. Nicole Pivonka 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 organization bills Medicare for Nicole Pivonka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Pivonka reassigns Medicare benefits to Virtua Medical Group, PA (Voorhees, NJ). The 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 Pivonka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Pivonka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nicole Pivonka 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.

When was this NPI record last updated?

The NPPES record for Nicole Pivonka was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.