Individual provider Active NPI

Mae C Vargas, MSN,APN-C

  • Family Nurse Practitioner
  • Somers Point, NJ
National Provider Identifier
1396839361
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NN81958 Issued in NJ
Practice address
100 Medical Center Way FL 4
Somers Point, NJ 08244-2300
Phone
(609) 653-3265
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NN81958 NJ Primary

Addresses

Primary practice location

100 Medical Center Way FL 4
Somers Point, NJ 08244-2300

Mailing address

100 Medical Center Way
Somers Point, NJ 08244-2300
Phone (609) 653-3500

Other identifiers 1

IdentifierTypeStateIssuer
848740501MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000607 NJ Practitioner - Nurse Practitioner 7517155567 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Hospitalists Associates PAGroup PAC ID 2567789019, 25 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3500

1 E New York Ave
SPG Admin Office
Somers Point, NJ 08244-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
52.22 of 100Reported as group
Quality
30
Improvement activities
40
Cost
52.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NN81958NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Hospitalists Associates PA CurrentSince Jan 15, 2015 Accepting new patients
Shore Family Medicine Ass Past Accepting new patients
Shore Memorial Hospital Past Accepting new patients

Locations

100 Medical Center Way
Fl 4
Somers Point, NJ 08244
Phone (609) 653-3265

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1396839361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER WAY",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442300",
            "telephone_number": "609-653-3500",
            "fax_number": "609-926-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER WAY FL 4",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442300",
            "telephone_number": "609-653-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "MAE",
        "middle_name": "C",
        "credential": "MSN,APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "NN81958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "848740501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.