MRS. MARY ELLEN ELIZABETH ROBERTS RN, MSN, APNC
NPI 1619915428
Nurse Practitioner - Adult Health in Belleville, NJ
NPI Status: Active since June 03, 2006
Contact Information
36 NEWARK AVE
SUITE 300
BELLEVILLE, NJ
ZIP 07109
Phone: (973) 751-7322
Fax: (973) 759-3702
- Individual
- Female
- Nurse Practitioner
- Adult Health
- PECOS Enrolled
- Medicare Quality Reporting
About MARY ELLEN ROBERTS
This page provides the complete NPI Profile along with additional information for Mary Ellen Roberts, a provider established in Belleville, New Jersey with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1619915428 assigned on June 2006. The practitioner's primary taxonomy code is 363LA2200X with license number 26NN067758 (NJ). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1619915428
- Provider Name
- MRS. MARY ELLEN ELIZABETH ROBERTS RN, MSN, APNC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 36 NEWARK AVE SUITE 300 BELLEVILLE, NJ 07109
- Location Phone
- (973) 751-7322
- Location Fax
- (973) 759-3702
- Mailing Address
- 10 MEADOWBROOK RD SHORT HILLS, NJ 07078
- Mailing Phone
- (973) 751-7322
- Mailing Fax
- (973) 759-3702
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-03-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A nurse practitioner (NP) like Mary Ellen Roberts 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 Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 26NN067758
- License State
- NJ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
003027BWP | MEDICARE ID-TYPE UNSPECIFIED (04) | NJ |
Medicare Participation & PECOS Enrollment Status
Mary Ellen Roberts 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
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 07109 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Use of decision support and standardized treatment protocols | Yes | N/A |
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. |
Reviews for MRS. MARY ELLEN ELIZABETH ROBERTS RN, MSN, APNC
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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 | 6 | 1 | 9 | 9 | 1 | 5 | 4 | 2 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 2 | 9 | 18 | 1 | 10 | 4 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 2 + 9 + 1 + 8 + 1 + 1 + 0 + 4 + 4 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1619915428 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1043213499 | DR. DAVID J GREIFINGER M.D. Individual | Orthopaedic Surgery | 36 NEWARK AVE STE 220 BELLEVILLE, NJ 07109 (973) 759-8284 |
1134124357 | MR. ADEL BASILY SORIAL MD Individual | Otolaryngology | 36 NEWARK AVE STE 318 BELLEVILLE, NJ 07109 (973) 751-2251 |
1982601662 | CARL F MERCURIO MD Individual | Orthopaedic Surgery | 36 NEWARK AVE SUITE 220 BELLEVILLE, NJ 07109 (973) 751-3222 |
1225016892 | MS. VIRGINIA IRENE LAY M.D. Individual | Obstetrics & Gynecology | 36 NEWARK AVE SUITE 128 BELLEVILLE, NJ 07109 (973) 751-5454 |
1962482174 | JOHN D NAPOLI M.D. Individual | Internal Medicine | 36 NEWARK AVE SUITE 326 BELLEVILLE, NJ 07109 (973) 759-6896 |
1366482838 | VITREO RETINAL ASSOCIATES OF NJ PA Organization | Ophthalmology | 36 NEWARK AVE SUITE 212 BELLEVILLE, NJ 07109 (973) 751-8808 |
1356457956 | KATHLEEN RUDDY Individual | Surgery | 36 NEWARK AVE BELLEVILLE, NJ 07109 (973) 450-2710 |
1144329830 | YELENA YERETSKY DO Individual | Dermatology | 36 NEWARK AVE STE 120 LIGRESTI DERMATOLOGY ASSOCIATES PA BELLEVILLE, NJ 07109 (973) 759-6569 |
1821139320 | DR. MONIR M FAHMY M.D. Individual | Specialist | 36 NEWARK AVE BELLEVILLE, NJ 07109 (973) 751-3260 |
1700921269 | BELLEVILLE DERMATOLOGY CENTER Organization | Specialist | 36 NEWARK AVE SUITE 214 BELLEVILLE, NJ 07109 (973) 751-1200 |
1447395991 | JOSEPH SHELDON EASTERN M.D. Individual | Specialist | 36 NEWARK AVE SUITE 214 BELLEVILLE, NJ 07109 (973) 751-1200 |
1538296728 | MS. DIANE PANNITTI PT Individual | Physical Therapist | 36 NEWARK AVE SUITE 200 BELLEVILLE, NJ 07109 (973) 751-3729 |
1124147657 | CLINICAL & INVASIVE CARDIOLOGY Organization | Legal Medicine | 36 NEWARK AVE SUITE 300 BELLEVILLE, NJ 07109 (973) 751-7322 |
1770751513 | DR. FARID ABDUL-NOOR M.D. Individual | Internal Medicine | 36 NEWARK AVE SUITE 324 BELLEVILLE, NJ 07109 (973) 751-2060 |
1861708216 | CARL F MERCURIO MD PA Organization | Orthopaedic Surgery | 36 NEWARK AVE SUITE 220 BELLEVILLE, NJ 07109 (973) 751-3222 |
1730483165 | BREAST HEALTH AND HEALING, INC Organization | Specialist | 36 NEWARK AVE SUITE 130 BELLEVILLE, NJ 07109 (973) 450-2710 |
1366737462 | WOMEN'S CARE NJ PA Organization | Specialist | 36 NEWARK AVE SUITE 128 BELLEVILLE, NJ 07109 (973) 751-5454 |
1316092364 | JAH RADIOLOGY PA Organization | Radiology (Diagnostic Radiology) | 36 NEWARK AVE SUITE 100 BELLEVILLE, NJ 07109 (973) 844-4170 |
1053448167 | ESSEX ORTHOPAEDIC GROUP, P.C. Organization | Orthopaedic Surgery | 36 NEWARK AVE SUITE 220 BELLEVILLE, NJ 07109 (973) 759-8284 |
1316196165 | DR. AMIT KUMAR SETH M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 36 NEWARK AVE SUITE 326 BELLEVILLE, NJ 07109 (973) 759-6896 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619915428, enumerated in the NPI registry as an "individual" on June 03, 2006
The provider is located at 36 Newark Ave Suite 300 Belleville, Nj 07109 and the phone number is (973) 751-7322
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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 June 03, 2006. 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].
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