PATRICIA SUE MCGAUGHEY CNM
NPI 1992964464
Advanced Practice Midwife in Lawrenceville, NJ

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
123 FRANKLIN CORNER RD STE 214, LAWRENCEVILLE, NJ 08648(609) 537-7200 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2023, Jan 19, 2017 (2 updates tracked since 2017).

About Patricia Sue Mcgaughey Cnm NPPES

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

PATRICIA SUE MCGAUGHEY CNM (NPI 1992964464) is an individual advanced practice midwife in Lawrenceville, New Jersey and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1992964464
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NamePATRICIA SUE MCGAUGHEYCredential: CNM
Location Address123 FRANKLIN CORNER RD STE 214Lawrenceville, NJ 08648-2526
Mailing Address123 Franklin Corner Rd Ste 214Lawrenceville, NJ 08648-2526 · (609) 537-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 9, 2008
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1992964464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
123 FRANKLIN CORNER RD STE 214, Lawrenceville, NJ 08648

Secondary Practice Locations 2

Location 1201 Lyons Ave, Labor and DeliveryNewark, NJ 07112-2027 · Phone (973) 926-7000 ext. 67112
Location 2100 K Johnson Blvd Ste 102Bordentown, NJ 08505-2275 · Phone (609) 537-7200

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

Patricia Sue Mcgaughey Cnm 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 ID5597082420
PECOS Enrollment IDI20160815002343
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 Patricia Mcgaughey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 581 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Advanced Practice Midwife
123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE, NJ 08648
Nurse Practitioner (Women's Health)
123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE, NJ 08648
Advanced Practice Midwife
123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE, NJ 08648
Nurse Practitioner (Women's Health)
123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE, NJ 08648
Advanced Practice Midwife
123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE, NJ 08648
Obstetrics & Gynecology
123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE, NJ 08648
Obstetrics & Gynecology
123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE, NJ 08648
Nurse Practitioner (Family)
123 FRANKLIN CORNER RD STE 214
LAWRENCEVILLE, NJ 08648

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 Patricia Mcgaughey's NPI number?

The NPI number for Patricia Mcgaughey is 1992964464. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Patricia Mcgaughey located?

Patricia Mcgaughey practices at 123 Franklin Corner Rd Ste 214, Lawrenceville, NJ 08648. The listed phone number is (609) 537-7200.

What is Patricia Mcgaughey's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Patricia Mcgaughey enrolled in Medicare?

Yes. Patricia Mcgaughey 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 Patricia Mcgaughey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Mcgaughey reassigns Medicare benefits to 3 organizations: Capital Health Medical Group (Trenton, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Rwjbh Observation Associates LLC (Livingston, 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 Patricia Mcgaughey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Patricia Mcgaughey accept?

Health plans from Oscar Health list Patricia Mcgaughey 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.

When was this NPI record last updated?

The NPPES record for Patricia Mcgaughey was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.