CAROLYN ROSE ST HILAIRE WHNP-BC
NPI 1699265405
Nurse Practitioner - Women's Health in Newark, NJ

Active since May 16, 2018PECOS EnrolledAccepts Medicare Assignment
240 MULBERRY ST, NEWARK, NJ 07102(973) 622-3900 Get Directions Write a Review

NPPES record last updated: May 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carolyn Rose St Hilaire Whnp-bc NPPES

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

CAROLYN ROSE ST HILAIRE WHNP-BC (NPI 1699265405) is an individual women's health provider in Newark, New Jersey, licensed in New Jersey (26NR18242300) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699265405
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameCAROLYN ROSE ST HILAIRECredential: WHNP-BC
Location Address240 MULBERRY STNewark, NJ 07102-3528
Mailing Address21 Lombardy PlMaplewood, NJ 07040-3218 · (973) 415-7680
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMay 16, 2018
✔ NPI 1699265405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in NJ · 26NR18242300
240 MULBERRY ST, Newark, NJ 07102

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

Carolyn Rose St Hilaire Whnp-bc 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 ID3375931199
PECOS Enrollment IDI20211028000806
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

3

Medicare enrollment records show Carolyn St Hilaire reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
120 MANCHESTER PL
Newark, NJ 07104
  • Reassigned Medicare billing, New Jersey enrollment
  • 84 clinicians in this Medicare group
Obstetrics & Gynecology
100 CAMPUS DR STE 405
Florham Park, NJ 07932
  • Reassigned Medicare billing, New Jersey enrollment
  • 230 clinicians in this Medicare group
Multi-Specialty
651 WILLOW GROVE ST
Hackettstown, NJ 07840
  • Reassigned Medicare billing, New Jersey enrollment
  • 429 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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.

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.

Nurse Practitioner (Family)
240 MULBERRY ST
NEWARK, NJ 07102
Nurse Practitioner (Women's Health)
240 MULBERRY ST
NEWARK, NJ 07102
Nurse Practitioner (Women's Health)
240 MULBERRY ST
NEWARK, NJ 07102
Nurse Practitioner (Family)
240 MULBERRY ST
NEWARK, NJ 07102

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 Carolyn St Hilaire's NPI number?

The NPI number for Carolyn St Hilaire is 1699265405. It was assigned to this individual provider in the NPPES registry on May 16, 2018.

Where is Carolyn St Hilaire located?

Carolyn St Hilaire practices at 240 Mulberry St, Newark, NJ 07102. The listed phone number is (973) 622-3900.

What is Carolyn St Hilaire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Carolyn St Hilaire enrolled in Medicare?

Yes. Carolyn St Hilaire 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 Carolyn St Hilaire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn St Hilaire reassigns Medicare benefits to 3 organizations: Central Jersey Medical Center, Inc. (Newark, NJ), Lifeline Medical Associates, LLC (Florham Park, NJ) and The Radiology Group Of New Jersey, LLC (Hackettstown, 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 Carolyn St Hilaire'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 Carolyn St Hilaire was last updated on May 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.