MARIA BERNADETTE BAHENA YBALLE MD
NPI 1730501206
Hospitalist in Hackettstown, NJ

Active since January 17, 2014PECOS EnrolledAccepts Medicare Assignment
651 WILLOW GROVE ST, HACKETTSTOWN, NJ 07840(908) 441-1161 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2025, Feb 18, 2025, Nov 9, 2022 and 5 more (8 updates tracked since 2017).

About Maria Bernadette Bahena Yballe Md NPPES

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

MARIA BERNADETTE BAHENA YBALLE MD (NPI 1730501206) is an individual hospitalist provider in Hackettstown, New Jersey, licensed in Pennsylvania (MD459041) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1730501206
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameMARIA BERNADETTE BAHENA YBALLECredential: MD
Location Address651 WILLOW GROVE STHackettstown, NJ 07840-1799
Mailing AddressPo Box 416457Boston, MA 02241-6457 · (844) 362-1735 · Fax (973) 290-7495
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 17, 2014
Last NPPES UpdateJune 20, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2025
✔ NPI 1730501206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in PA · MD459041✔ Licensed in NJ · 25MA10308100
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD459041 (PA), 25MA10308100 (NJ), C1-0012501 (DE)
651 WILLOW GROVE ST, Hackettstown, NJ 07840

Other Names 1

Former Name (1)Maria Bernadette Bahena Md

Secondary Practice Locations 3

Location 140 Bernice RdBelleville, NJ 07109-1508 · Phone (973) 759-2635
Location 22601 Holme AvePhiladelphia, PA 19152-2007 · Phone (215) 335-6562
Location 3750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000

Other Identifiers 2

Medicaid1032095690001PA
Medicaid0661171NJ

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

Maria Bernadette Bahena Yballe Md 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 ID1759679491
PECOS Enrollment IDI20161012000440
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

11

Medicare enrollment records show Maria Bernadette Yballe reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
206 E BROWN ST
East Stroudsburg, PA 18301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 103 clinicians in this Medicare group
Family Medicine
390 AMWELL RD, STE 405
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 249 clinicians in this Medicare group
Otolaryngology
719 US HIGHWAY 206 STE 101
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 793 clinicians in this Medicare group
Family Medicine
501 STREET RD, SUITE 100
Southampton, PA 18966
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
Hospitalist
1201 LANGHORNE NEWTOWN RD
Langhorne, PA 19047
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 103 clinicians in this Medicare group
Nephrology
2701 HOLME AVE, STE 203
Philadelphia, PA 19152
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
Obstetrics & Gynecology
2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 654 clinicians in this Medicare group
Nephrology
1030 REED AVE, STE 114
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 12 clinicians in this Medicare group
Internal Medicine
225 S CENTER AVE
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
  • 274 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 6

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.

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.
871 services358 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
185 services100 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
168 services76 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
93 services90 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
82 services76 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
49 services49 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07840 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
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 20

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

Registered Nurse (Registered Nurse First Assistant)
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Dietitian, Registered
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Physician Assistant (Medical)
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Internal Medicine
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Hospitalist
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Internal Medicine
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Physical Therapist
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840
Social Worker (Clinical)
651 WILLOW GROVE ST
HACKETTSTOWN, NJ 07840

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 Maria Bernadette Yballe's NPI number?

The NPI number for Maria Bernadette Yballe is 1730501206. It was assigned to this individual provider in the NPPES registry on January 17, 2014. The provider is also known as Maria Bernadette Bahena MD.

Where is Maria Bernadette Yballe located?

Maria Bernadette Yballe practices at 651 Willow Grove St, Hackettstown, NJ 07840. The listed phone number is (908) 441-1161.

What is Maria Bernadette Yballe's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Maria Bernadette Yballe enrolled in Medicare?

Yes. Maria Bernadette Yballe 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 Maria Bernadette Yballe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Bernadette Yballe reassigns Medicare benefits to 11 organizations: Pennsylvania Hm Associates PC (East Stroudsburg, PA), Princeton Healthcare Affiliated Physicians PC (Hillsborough, NJ), Clinical Health Care Associates Of New Jersey, PC (Hillsborough, NJ), Trinity Health Mid-Atlantic Medical Group (Southampton, PA), Capital Health Multispecialty Group (Trenton, NJ) and 6 more organizations, listed in the Medicare section above. 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 Maria Bernadette Yballe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Maria Bernadette Yballe affiliated with any hospitals?

According to CMS data, Maria Bernadette Yballe is affiliated with Reading Hospital, Upmc Passavant, Jefferson Health- Northeast and Nazareth Hospital.

When was this NPI record last updated?

The NPPES record for Maria Bernadette Yballe was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.