MRS. VIRGINIA L CARREIRA RN,FNP,C
NPI 1801970868
Nurse Practitioner - Primary Care in Long Branch, NJ

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
64.92/100
CMS Quality Rating
391 WESTWOOD AVE, LONG BRANCH, NJ 07740(732) 728-9533(732) 728-9670 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Virginia L Carreira Rn,fnp,c NPPES

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

MRS. VIRGINIA L CARREIRA RN,FNP,C (NPI 1801970868) is an individual primary care provider in Long Branch, New Jersey, licensed in New Jersey (26NN08742800) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1801970868
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. VIRGINIA L CARREIRACredential: RN,FNP,C
Location Address391 WESTWOOD AVELong Branch, NJ 07740-5535
Mailing Address25 Cold Indian Springs RdOcean, NJ 07712-3307 · (732) 695-9025 · Fax (732) 695-9026
Fax(732) 728-9670
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801970868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NN08742800
391 WESTWOOD AVE, Long Branch, NJ 07740

Accepted 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

Mrs. Virginia L Carreira Rn,fnp,c 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 ID244379410
PECOS Enrollment IDI20160629002092
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 Virginia Carreira reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

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
Geriatric Medicine
15 SCHOOL RD E STE 2
Marlboro, NJ 07746
  • Reassigned Medicare billing, New Jersey enrollment
  • 12 clinicians in this Medicare group
Nurse Practitioner
901 W MAIN ST
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Centrastate Specialists, PC
  • 34 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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,763 services267 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
21 services20 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07740 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.

64.92/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality49.71
Improvement Activities40
Cost30.25

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 Virginia Carreira's NPI number?

The NPI number for Virginia Carreira is 1801970868. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Virginia Carreira located?

Virginia Carreira practices at 391 Westwood Ave, Long Branch, NJ 07740. The listed phone number is (732) 728-9533.

What is Virginia Carreira's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Virginia Carreira enrolled in Medicare?

Yes. Virginia Carreira 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 Virginia Carreira's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Virginia Carreira reassigns Medicare benefits to 3 organizations: Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), Jersey Shore Geriatrics Inc (Marlboro, NJ) and Centrastate Specialists, P.C. (Freehold, 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 Virginia Carreira's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Virginia Carreira accept?

Health plans from Oscar Health list Virginia Carreira 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.

Is Virginia Carreira affiliated with any hospitals?

According to CMS data, Virginia Carreira is affiliated with Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Virginia Carreira was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.