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ELIZABETH M LADIA MSN, CRNP
NPI 1679159370
Nurse Practitioner in Highlands, NJ

Active since March 22, 2021PECOS Enrolled
86.42/100
CMS Quality Rating
470 ROUTE 36, HIGHLANDS, NJ 07732(732) 872-1051 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 31, 2026, Jan 4, 2026, Sep 14, 2021 and 1 more (4 updates tracked since 2021).

About Elizabeth M Ladia Msn, Crnp NPPES

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

ELIZABETH M LADIA MSN, CRNP (NPI 1679159370) is an individual nurse practitioner in Highlands, New Jersey, licensed in Pennsylvania (SP023397) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679159370
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELIZABETH M LADIACredential: MSN, CRNP
Location Address470 ROUTE 36Highlands, NJ 07732-1315
Mailing Address470 Route 36Highlands, NJ 07732-1315 · (732) 872-1051
Phone(732) 872-1051
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 22, 2021
Last NPPES UpdateAugust 31, 20264 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1679159370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP023397
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ01149900 (NJ), SP023397 (PA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License SP023397 (PA)
470 ROUTE 36, Highlands, NJ 07732
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 (PECOS)

Elizabeth M Ladia Msn, Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577965318
PECOS Enrollment IDI20210715002611
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 Elizabeth Ladia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prohealth Urgent Care Medicine Of New Jersey LLP
28 mi
Emergency Care
461 RIVER RD
Edgewater, NJ 07020
  • Reassigned Medicare billing, New Jersey enrollment
  • 144 clinicians in this Medicare group
NPI 1477927754 (516) 622-6000
Med-Doc Office PC
67 mi
Psychiatry
11 E LAUREL RD
Stratford, NJ 08084
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1851021372 (609) 922-5260
Regenerative Medicine Of South Jersey LLC
107 mi
Family Medicine
1501 ROUTE 47
Rio Grande, NJ 08242
  • Reassigned Medicare billing, New Jersey enrollment
  • 25 clinicians in this Medicare group
NPI 1992342109 (605) 224-1576
Ars Treatment Centers, P.C.
306 mi
Multi-Specialty
104 DELAWARE AVE STE 244
Uniontown, PA 15401
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Ars Treatment Centers PC
  • 140 clinicians in this Medicare group
NPI 1346731171 (800) 805-6989

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.
64 services64 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
20 services20 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07732 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.

86.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.04
Promoting Interoperability82
Improvement Activities40
Cost91.69

Other Providers at the Same Location NPPES 4

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

NEW JERSEY CVS PHARMACY LLC
Pharmacy
470 ROUTE 36
HIGHLANDS, NJ 07732
Monmouth County (732) 872-1051
ARON LOVE NP
Nurse Practitioner (Family)
470 ROUTE 36
HIGHLANDS, NJ 07732
Monmouth County (732) 872-1051
BRIANA ROMANO
Pharmacist
470 ROUTE 36
HIGHLANDS, NJ 07732
Monmouth County (732) 872-1051
DR. NICHOLAS FONTANELLA PHARMD
Pharmacist
470 ROUTE 36
HIGHLANDS, NJ 07732
Monmouth County (732) 872-1051

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 Elizabeth Ladia's NPI number?

The NPI number for Elizabeth Ladia is 1679159370. It was assigned to this individual provider in the NPPES registry on March 22, 2021.

Where is Elizabeth Ladia located?

Elizabeth Ladia practices at 470 Route 36, Highlands, NJ 07732. The listed phone number is (732) 872-1051.

What is Elizabeth Ladia's specialty?

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

Is Elizabeth Ladia enrolled in Medicare?

Yes. Elizabeth Ladia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elizabeth Ladia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Ladia reassigns Medicare benefits to 4 organizations: Prohealth Urgent Care Medicine Of New Jersey LLP (Edgewater, NJ), Med-Doc Office PC (Stratford, NJ), Regenerative Medicine Of South Jersey LLC (Rio Grande, NJ) and Ars Treatment Centers, P.C. (Uniontown, PA). 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 Elizabeth Ladia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elizabeth Ladia accept?

Health plans from Oscar Health list Elizabeth Ladia 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 Elizabeth Ladia was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.