TULSI PATEL
NPI 1932685146
Nurse Practitioner - Primary Care in Toms River, NJ

Active since July 11, 2018PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
99 ROUTE 37 W, TOMS RIVER, NJ 08755(732) 557-8000 Get Directions Write a Review

NPPES record last updated: June 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2018, Jul 11, 2018 (2 updates tracked since 2018).

About Tulsi Patel NPPES

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

TULSI PATEL (NPI 1932685146) is an individual primary care provider in Toms River, New Jersey, licensed in New Jersey (26NJ00858100) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains a secondary practice location in Pennington.

NPPES Registry Identity

NPI1932685146
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTULSI PATEL
Location Address99 ROUTE 37 WToms River, NJ 08755-6423
Mailing Address5 Wardman AveEwing, NJ 08638-2735 · (609) 412-8122
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 11, 2018
Last NPPES UpdateJune 22, 20222 updates tracked since enumeration
NPPES CertifiedJune 22, 2022
NPI 1932685146 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 · 26NJ00858100
99 ROUTE 37 W, Toms River, NJ 08755

Secondary Practice Location 1

Location 12 Capital Way Ste 385Pennington, NJ 08534-2521 · Phone (609) 303-4838

Accepted 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

Tulsi Patel 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 ID4688910581
PECOS Enrollment IDI20190115000279
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.

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.
86 services65 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.
23 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

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.

General Acute Care Hospital
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner (Family)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Registered Nurse (Registered Nurse First Assistant)
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Student in an Organized Health Care Education/Training Program
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Pharmacist
99 ROUTE 37 W, CMC PHARMACY DEPT.
TOMS RIVER, NJ 08755
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755
Internal Medicine
99 ROUTE 37 W
TOMS RIVER, NJ 08755

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 Tulsi Patel's NPI number?

The NPI number for Tulsi Patel is 1932685146. It was assigned to this individual provider in the NPPES registry on July 11, 2018.

Where is Tulsi Patel located?

Tulsi Patel practices at 99 Route 37 W, Toms River, NJ 08755. The listed phone number is (732) 557-8000.

What is Tulsi Patel's specialty?

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

Is Tulsi Patel enrolled in Medicare?

Yes. Tulsi Patel 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 Tulsi Patel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Tulsi Patel 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 Tulsi Patel affiliated with any hospitals?

According to CMS data, Tulsi Patel is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tulsi Patel was last updated on June 22, 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.