1. Home
  2. Directory
  3. New Jersey
  4. Glen Rock
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARY ELIZABETH D'ENTREMONT ANP-BC
NPI 1982981858
Nurse Practitioner in Glen Rock, NJ

Active since November 07, 2011PECOS Enrolled
208 HARRISTOWN RD STE 201, GLEN ROCK, NJ 07452(833) 615-2618 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mary Elizabeth D'entremont Anp-bc NPPES

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

MARY ELIZABETH D'ENTREMONT ANP-BC (NPI 1982981858) is an individual nurse practitioner in Glen Rock, New Jersey, licensed in New Jersey (26NJ00674700) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982981858
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY ELIZABETH D'ENTREMONTCredential: ANP-BC
Location Address208 HARRISTOWN RD STE 201Glen Rock, NJ 07452-3306
Mailing Address411 Northern PkwyRidgewood, NJ 07450-1720
Phone(833) 615-2618
Sole ProprietorNo
Enumeration DateNovember 7, 2011
Last NPPES UpdateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1982981858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NJ · 26NJ00674700
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License F305439-1 (NY)
208 HARRISTOWN RD STE 201, Glen Rock, NJ 07452
Open in Google Maps ↗

Other Names 1

Former Name (1)Mary Elizabeth Fitzpatrick Anp-bc

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Elizabeth D'entremont Anp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07452 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Mary D'entremont's NPI number?

The NPI number for Mary D'entremont is 1982981858. It was assigned to this individual provider in the NPPES registry on November 7, 2011. The provider is also known as Mary Elizabeth Fitzpatrick Anp-Bc.

Where is Mary D'entremont located?

Mary D'entremont practices at 208 Harristown Rd Ste 201, Glen Rock, NJ 07452. The listed phone number is (833) 615-2618.

What is Mary D'entremont's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary D'entremont enrolled in Medicare?

Yes. Mary D'entremont is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary D'entremont was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.