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MISS NADIA M SETZER APN
NPI 1740413970
Nurse Practitioner in Paramus, NJ

Active since September 04, 2009PECOS EnrolledAccepts Medicare Assignment
81 E STATE RT 4 STE 401, PARAMUS, NJ 07652(201) 646-1121(201) 646-1110 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Miss Nadia M Setzer Apn NPPES

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

MISS NADIA M SETZER APN (NPI 1740413970) is an individual nurse practitioner in Paramus, New Jersey, licensed in New Jersey (26NJ002333800) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Rutgers School Of Dental Medicine (2009).

NPPES Registry Identity

NPI1740413970
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMISS NADIA M SETZERCredential: APN
Location Address81 E STATE RT 4 STE 401Paramus, NJ 07652-2667
Mailing Address81 Route 4 West, Suite 401Paramus, NJ 07652-1212 · (201) 646-1121
Phone(201) 646-1121
Fax(201) 646-1110
Sole ProprietorYes
Medical School CMSRutgers School Of Dental MedicineGraduated 2009
Enumeration DateSeptember 4, 2009
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1740413970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ002333800
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.
81 E STATE RT 4 STE 401, Paramus, NJ 07652
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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 Nadia M Setzer 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 ID4981900495
PECOS Enrollment IDI20220118001669
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 Reassignment

Medicare enrollment records show Nadia Setzer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
42 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

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.
108 services57 patients
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.
26 services19 patients
Other procedure on stomach 43999
"Other procedure on stomach" refers to various medical interventions that aren't classified under common stomach procedures. These can include diagnostic procedures, removal of foreign bodies, or treatment of specific conditions. The exact process will depend on the patient's unique health needs.
23 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07652 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.

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 Nadia Setzer's NPI number?

The NPI number for Nadia Setzer is 1740413970. It was assigned to this individual provider in the NPPES registry on September 4, 2009.

Where is Nadia Setzer located?

Nadia Setzer practices at 81 E State Rt 4 Ste 401, Paramus, NJ 07652. The listed phone number is (201) 646-1121.

What is Nadia Setzer's specialty?

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

Is Nadia Setzer enrolled in Medicare?

Yes. Nadia Setzer 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 organization bills Medicare for Nadia Setzer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nadia Setzer reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Nadia Setzer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nadia Setzer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Nadia Setzer 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 Nadia Setzer was last updated on July 17, 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.