MISS NICOLE BARONE APN
NPI 1669019592
Nurse Practitioner - Family in Tinton Falls, NJ

Active since December 10, 2019PECOS EnrolledAccepts Medicare Assignment
4 HARTFORD DR, STE 1, TINTON FALLS, NJ 07701(732) 741-3600 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 20, 2024, Dec 10, 2019 (2 updates tracked since 2019).

About Miss Nicole Barone Apn NPPES

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

MISS NICOLE BARONE APN (NPI 1669019592) is an individual family provider in Tinton Falls, New Jersey, licensed in New Jersey (26NJ00995000) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1669019592
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS NICOLE BARONECredential: APN
Location Address4 HARTFORD DR, STE 1Tinton Falls, NJ 07701-4945
Mailing Address331 Newman Springs Rd, Bldg 2, Ste 220Red Bank, NJ 07701-5688
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 10, 2019
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1669019592 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 · 26NJ00995000
4 HARTFORD DR, Tinton Falls, NJ 07701

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

Miss Nicole Barone 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 ID1658708813
PECOS Enrollment IDI20200227001771
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

5

Medicare enrollment records show Nicole Barone reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
46 NEWMAN SPRINGS RD E STE F
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 160 clinicians in this Medicare group
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
Internal Medicine
1820 CORLIES AVE, SUITE 7
Neptune, NJ 07753
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Urgent Care
1376 HIGHWAY 36
Hazlet, NJ 07730
  • Reassigned Medicare billing, New Jersey enrollment
  • 142 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1771 MADISON AVE
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 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.

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.
94 services91 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
49 services25 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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 11

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

Dermatology (Procedural Dermatology)
4 HARTFORD DR, SUITE 3
TINTON FALLS, NJ 07701
Nurse Practitioner (Family)
4 HARTFORD DR
TINTON FALLS, NJ 07701
Internal Medicine
4 HARTFORD DR
TINTON FALLS, NJ 07701
Internal Medicine
4 HARTFORD DR
TINTON FALLS, NJ 07701
Dietitian, Registered
4 HARTFORD DR
TINTON FALLS, NJ 07701
Internal Medicine
4 HARTFORD DR
TINTON FALLS, NJ 07701
Internal Medicine
4 HARTFORD DR
TINTON FALLS, NJ 07701
Nurse Practitioner
4 HARTFORD DR, SUITE 1
TINTON FALLS, NJ 07701

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 Barone's NPI number?

The NPI number for Nicole Barone is 1669019592. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Nicole Barone located?

Nicole Barone practices at 4 Hartford Dr Ste 1, Tinton Falls, NJ 07701. The listed phone number is (732) 741-3600.

What is Nicole Barone's specialty?

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

Is Nicole Barone enrolled in Medicare?

Yes. Nicole Barone 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 Barone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Barone reassigns Medicare benefits to 5 organizations: Urgent Care Physicians Of New Jersey, LLC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ), Atlantic Medical, LLC (Neptune, NJ), Immediate Care Medical Walk-In Of Hazlet, PA (Hazlet, NJ) and Lakewood Resource And Referral Center Inc (Lakewood, 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 Barone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Barone accept?

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

According to CMS data, Nicole Barone is affiliated with Morristown Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Barone was last updated on June 20, 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.