ADRIANNA MARIE SPINELLI APN
NPI 1235903840
Nurse Practitioner - Pediatrics in New Providence, NJ
NPI Status: Active since November 14, 2023
Contact Information
180 SOUTH ST
NEW PROVIDENCE, NJ
ZIP 07974
Phone: (908) 673-7505
Fax: (908) 464-4159
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- PECOS Enrolled
About ADRIANNA SPINELLI
This page provides the complete NPI Profile along with additional information for Adrianna Spinelli, a provider established in New Providence, New Jersey with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1235903840 assigned on November 2023. The practitioner's primary taxonomy code is 363LP0200X with license number 26NJ14949100 (NJ). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1235903840
- Provider Name
- ADRIANNA MARIE SPINELLI APN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 180 SOUTH ST NEW PROVIDENCE, NJ 07974
- Location Phone
- (908) 673-7505
- Location Fax
- (908) 464-4159
- Mailing Address
- 250 RIDGEDALE AVE APT W1 FLORHAM PARK, NJ 07932
- Mailing Phone
- (973) 287-9790
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-14-2023
- Last Update Date
- 01-19-2024
- Code Navigator
A nurse practitioner (NP) like Adrianna Spinelli is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 26NJ14949100
- License State
- NJ
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 26NJ14949100 (NJ) |
Medicare Participation & PECOS Enrollment Status
Adrianna Spinelli is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 07974 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $98.09
- Minimum New Patient Price $63.84
- Maximum New Patient Price $190.92
- Average New Patient Copayment $24.52
- Minimum New Patient Copayment $15.96
- Maximum New Patient Copayment $47.73
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $111.57
- Minimum Established Patient Price $20.97
- Maximum Established Patient Price $155.92
- Average Established Patient Copayment $27.89
- Minimum Established Patient Copayment $5.24
- Maximum Established Patient Copayment $38.98
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 9 | 0 | 3 | 8 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 18 | 0 | 6 | 8 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 8 + 0 + 6 + 8 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1235903840 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1699847285 | DR. KATHLEEN M CUDDIHY M.D. Individual | Pediatrics | 180 SOUTH ST NEW PROVIDENCE, NJ 07974 (908) 771-9824 |
| 1174803209 | LAURA LYNN DEMARIA APN Individual | Nurse Practitioner (Pediatrics) | 180 SOUTH ST NEW PROVIDENCE, NJ 07974 (908) 673-7505 |
| 1851429773 | UNION PHYSICAL THERAPY & REHABILITATION CENTER INC Organization | Physical Therapist | 180 SOUTH ST SUITE 102 NEW PROVIDENCE, NJ 07974 (908) 286-1515 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235903840, enumerated in the NPI registry as an "individual" on November 14, 2023
The provider is located at 180 South St New Providence, Nj 07974 and the phone number is (908) 673-7505
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0200X with a focus in Pediatrics
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $98.09 with an average copayment of $24.52 for new patient appointments. Established patients should expect a typical charge of $111.57 and an average copayment of 27.89. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 14, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.