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FRANCINE DYGULSKI
NPI 1831501618
Nurse Practitioner - Psychiatric/Mental Health in Toms River, NJ

Active since May 28, 2014PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
1198 LAKEWOOD RD STE 101, TOMS RIVER, NJ 08753(908) 391-0768 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Francine Dygulski NPPES

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

FRANCINE DYGULSKI (NPI 1831501618) is an individual psychiatric/mental health provider in Toms River, New Jersey, licensed in New Jersey (26NJ00500600) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1831501618
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameFRANCINE DYGULSKI
Location Address1198 LAKEWOOD RD STE 101Toms River, NJ 08753-2237
Mailing Address28 Sugarbush Rd Ste 2Howell, NJ 07731-2314 · (908) 391-0768
Phone(908) 391-0768
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 28, 2014
Last NPPES UpdateMay 17, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1831501618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00500600
1198 LAKEWOOD RD STE 101, Toms River, NJ 08753
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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

Francine Dygulski 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 ID5799902458
PECOS Enrollment IDI20140805000274
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

4

Medicare enrollment records show Francine Dygulski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lotus Mental Health & Wellness Inc
6.2 mi
Psychiatric/Mental Health
445 BRICK BLVD STE 304
Brick, NJ 08723
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1154136539 (732) 701-7031
Lotus Mental Health & Wellness
12 mi
Psychiatric/Mental Health
4514 ROUTE 9 S # 1021
Howell, NJ 07731
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1851046338 (908) 701-7031
Sea Girt Physical Medicine And Rehabilitation Associates, LLC
13 mi
Physical Medicine & Rehabilitation
240 PARKER AVE
Manasquan, NJ 08736
  • Reassigned Medicare billing, New Jersey enrollment
  • 23 clinicians in this Medicare group
NPI 1407004195 (732) 974-8100
Barnabas Health Medical Group, PC
54 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123

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 4

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
231 services34 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.
184 services33 patients
Psychiatric services complicated by communication factor 90785
Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.
90 services25 patients
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.
47 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

1198 MEDICAL ASSOCIATES LLC
Psychologist (Addiction (Substance Use Disorder))
1198 LAKEWOOD RD STE 101
TOMS RIVER, NJ 08753
Ocean County (732) 736-6559
RIVER ROAD DIAGNOSTICS LLC
Clinical Medical Laboratory
1198 LAKEWOOD RD STE 101
TOMS RIVER, NJ 08753
Ocean County (732) 736-6559
LAKEWOOD MEDICAL GROUP LLC
Internal Medicine (Addiction Medicine)
1198 LAKEWOOD RD STE 101
TOMS RIVER, NJ 08753
Ocean County (732) 736-6559
THE COUNSELING CENTER AT TOMS RIVER NJ, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1198 LAKEWOOD RD STE 101
TOMS RIVER, NJ 08753
Ocean County (732) 736-6559
VIBRO AT RIVER ROAD LLC
Counselor (Addiction (Substance Use Disorder))
1198 LAKEWOOD RD STE 101
TOMS RIVER, NJ 08753
Ocean County (732) 736-6559

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 Francine Dygulski's NPI number?

The NPI number for Francine Dygulski is 1831501618. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Francine Dygulski located?

Francine Dygulski practices at 1198 Lakewood Rd Ste 101, Toms River, NJ 08753. The listed phone number is (908) 391-0768.

What is Francine Dygulski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Francine Dygulski enrolled in Medicare?

Yes. Francine Dygulski 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 Francine Dygulski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francine Dygulski reassigns Medicare benefits to 4 organizations: Lotus Mental Health & Wellness Inc (Brick, NJ), Lotus Mental Health & Wellness (Howell, NJ), Sea Girt Physical Medicine And Rehabilitation Associates, LLC (Manasquan, NJ) and Barnabas Health Medical Group, PC (West Orange, 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 Francine Dygulski'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 Francine Dygulski was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.