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MISS NICOLE MARIE RIZZO NP-C, APN
NPI 1649927922
Nurse Practitioner - Family in Union, NJ

Active since March 07, 2022PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
1000 GALLOPING HILL RD STE 103, UNION, NJ 07083(908) 688-1550(908) 688-1552 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 22, 2023, Mar 7, 2022 (2 updates tracked since 2022).

About Miss Nicole Marie Rizzo Np-c, Apn NPPES

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

MISS NICOLE MARIE RIZZO NP-C, APN (NPI 1649927922) is an individual family provider in Union, New Jersey, licensed in New Jersey (26NJ01264800) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1649927922
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS NICOLE MARIE RIZZOCredential: NP-C, APN
Location Address1000 GALLOPING HILL RD STE 103Union, NJ 07083-7989
Mailing Address1000 Galloping Hill Rd Ste 103Union, NJ 07083-7989 · (908) 688-1550 · Fax (908) 688-1552
Phone(908) 688-1550
Fax(908) 688-1552
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 7, 2022
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
✔ NPI 1649927922 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 · 26NJ01264800
1000 GALLOPING HILL RD STE 103, Union, NJ 07083
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, 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

Miss Nicole Marie Rizzo Np-c, Apn 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 ID6002202454
PECOS Enrollment IDI20220412000065
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

4

Medicare enrollment records show Nicole Rizzo reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group, PC
6.4 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123
Hackensack Meridian Health Medical Group - Specialty Care PC
25 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Allied Digestive Health, LLC
30 mi
Gastroenterology
187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764
  • Reassigned Medicare billing, New Jersey enrollment
  • 406 clinicians in this Medicare group
NPI 1265831259 (732) 222-3805
Ocean Pulmonary Associates, P.A.
49 mi
Pulmonary Disease
20 HOSPITAL DRIVE, SUITE 9
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
NPI 1174645154 (732) 341-1380

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.

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.
279 services216 patients
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.
166 services107 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
131 services101 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.
36 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth 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 07083 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.

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.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$43.69 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers16 claims16 services$14.34 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$9.85 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers18 claims102 services$1.66 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
2 suppliers15 claims15 services$112.99 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers15 claims15 services$5.29 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 5

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

MR. SHAHZAD SULTAN RIFAT APN
Nurse Practitioner
1000 GALLOPING HILL RD STE 103
UNION, NJ 07083
Union County (908) 688-1550
BRUNO RIBEIRO
Nurse Practitioner (Family)
1000 GALLOPING HILL RD STE 103
UNION, NJ 07083
Union County (908) 688-1550
MATTHEW PETER SCHIEBEL APN
Family Medicine
1000 GALLOPING HILL RD STE 103
UNION, NJ 07083
Union County (908) 688-1550
DIANA MARIE FOLEY APN
Nurse Practitioner (Primary Care)
1000 GALLOPING HILL RD STE 103
UNION, NJ 07083
Union County (908) 688-1550
ALYSSA DUMATOL
Nurse Practitioner (Primary Care)
1000 GALLOPING HILL RD STE 103
UNION, NJ 07083
Union County (908) 688-1550

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 Rizzo's NPI number?

The NPI number for Nicole Rizzo is 1649927922. It was assigned to this individual provider in the NPPES registry on March 7, 2022.

Where is Nicole Rizzo located?

Nicole Rizzo practices at 1000 Galloping Hill Rd Ste 103, Union, NJ 07083. The listed phone number is (908) 688-1550.

What is Nicole Rizzo's specialty?

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

Is Nicole Rizzo enrolled in Medicare?

Yes. Nicole Rizzo 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 Rizzo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Rizzo reassigns Medicare benefits to 4 organizations: Barnabas Health Medical Group, PC (West Orange, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Allied Digestive Health, LLC (West Long Beach, NJ) and Ocean Pulmonary Associates, P.A. (Toms River, 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 Rizzo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Rizzo accept?

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

According to CMS data, Nicole Rizzo is affiliated with Jersey Shore University Medical Center, Monmouth Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Rizzo was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.