DANA L ESSNER APN,C
NPI 1952503393
Nurse Practitioner - Family in Tinton Falls, NJ

Active since June 05, 2007PECOS EnrolledAccepts Medicare Assignment
75.62/100
CMS Quality Rating
35 S GILBERT ST, TINTON FALLS, NJ 07701(732) 842-3050 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2023, Aug 29, 2018 (2 updates tracked since 2018).

About Dana L Essner Apn,c NPPES

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

DANA L ESSNER APN,C (NPI 1952503393) is an individual family provider in Tinton Falls, New Jersey, licensed in New Jersey (26NN10024000) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1952503393
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANA L ESSNERCredential: APN,C
Location Address35 S GILBERT STTinton Falls, NJ 07701-4954
Mailing Address35 S Gilbert StTinton Falls, NJ 07701-4954 · (732) 842-3050
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 5, 2007
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
NPI 1952503393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NJ · 26NN10024000
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 26NO10024000 (NJ)
35 S GILBERT ST, Tinton Falls, NJ 07701

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

Dana L Essner Apn,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 ID8426221706
PECOS Enrollment IDI20111102000105
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 11

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 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.
272 services154 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
149 services137 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.
130 services99 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
120 services120 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
118 services118 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
32 services31 patients

Hospital Affiliations CMS Care Compare

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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.

75.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.41
Promoting Interoperability91
Improvement Activities40
Cost49.83

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers18 claims990 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$23.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Cardiovascular Disease)
35 S GILBERT ST
TINTON FALLS, NJ 07701
Physical Medicine & Rehabilitation (Pain Medicine)
35 S GILBERT ST
TINTON FALLS, NJ 07701
Orthopaedic Surgery
35 S GILBERT ST
TINTON FALLS, NJ 07701
Physical Therapist
35 S GILBERT ST, SECOND FLOOR
TINTON FALLS, NJ 07701
Audiologist
35 S GILBERT ST
TINTON FALLS, NJ 07701
Orthopaedic Surgery
35 S GILBERT ST
TINTON FALLS, NJ 07701
Orthopaedic Surgery (Sports Medicine)
35 S GILBERT ST
TINTON FALLS, NJ 07701
Physical Medicine & Rehabilitation
35 S GILBERT ST
TINTON FALLS, NJ 07701

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 Dana Essner's NPI number?

The NPI number for Dana Essner is 1952503393. It was assigned to this individual provider in the NPPES registry on June 5, 2007.

Where is Dana Essner located?

Dana Essner practices at 35 S Gilbert St, Tinton Falls, NJ 07701. The listed phone number is (732) 842-3050.

What is Dana Essner's specialty?

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

Is Dana Essner enrolled in Medicare?

Yes. Dana Essner 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.

Is Dana Essner affiliated with any hospitals?

According to CMS data, Dana Essner is affiliated with Riverview Medical Center.

When was this NPI record last updated?

The NPPES record for Dana Essner was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.