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NICOLE M TILGHMAN
NPI 1740822451
Nurse Practitioner - Family in Manahawkin, NJ

Active since October 14, 2019PECOS EnrolledAccepts Medicare Assignment
94.94/100
CMS Quality Rating
547 ROUTE 72 W, MANAHAWKIN, NJ 08050(609) 704-6833(609) 704-6834 Get Directions Write a Review

NPPES record last updated: November 7, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 7, 2024, Oct 21, 2019, Oct 14, 2019 (3 updates tracked since 2019).

About Nicole M Tilghman NPPES

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

NICOLE M TILGHMAN (NPI 1740822451) is an individual family provider in Manahawkin, New Jersey, licensed in New Jersey (26NJ15152000) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1740822451
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE M TILGHMAN
Location Address547 ROUTE 72 WManahawkin, NJ 08050-2821
Mailing Address547 Route 72 WManahawkin, NJ 08050-2821 · (609) 704-6833 · Fax (609) 704-6834
Phone(609) 704-6833
Fax(609) 704-6834
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 14, 2019
Last NPPES UpdateNovember 7, 20243 updates tracked since enumeration
NPPES CertifiedNovember 7, 2024
✔ NPI 1740822451 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
Licenses✔ Licensed in NJ · 26NJ15152000✔ Licensed in NC · 5012400
547 ROUTE 72 W, Manahawkin, NJ 08050
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole M Tilghman 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 ID7315370053
PECOS Enrollment IDI20241118004295
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.

Areas of Expertise CMS Part B claims 2

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.
86 services86 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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.

94.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.88
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

MRS. JANE EREMUS-FOSTER
Nurse Practitioner (Adult Health)
547 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 597-3010
Q PHARMA INC
Non-Pharmacy Dispensing Site
547 ROUTE 72 W
MANAHAWKIN, NJ 08050
Ocean County (609) 407-2273

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 Tilghman's NPI number?

The NPI number for Nicole Tilghman is 1740822451. It was assigned to this individual provider in the NPPES registry on October 14, 2019.

Where is Nicole Tilghman located?

Nicole Tilghman practices at 547 Route 72 W, Manahawkin, NJ 08050. The listed phone number is (609) 704-6833.

What is Nicole Tilghman's specialty?

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

Is Nicole Tilghman enrolled in Medicare?

Yes. Nicole Tilghman 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.

What insurance does Nicole Tilghman accept?

Health plans from Blue Cross and Blue Shield of NC list Nicole Tilghman 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 Nicole Tilghman was last updated on November 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.