Ellen M Ciacciarelli, RN, MS, APN-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

26NJ00446000 Issued in NJ

Practice address

901 W Main St
Building B Suite 106
Freehold, NJ 07728-2537

Phone

(732) 367-6366

Fax

(732) 780-3012

NPI assigned

Jul 2, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

81.06 of 100Reported as group

Quality

62.57

Improvement activities

40

Cost

70.1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

Locations

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

• Centrastate Specialists, P.C.

  • Nurse Practitioner
  • Freehold, NJ
  • NPI 1700389301
  Medicare reassignment NPD
• Freehold Hospitalists, LLC

  • Hospitalist Physician
  • Freehold, NJ
  • NPI 1831231463
  Medicare reassignment NPD

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372723200000",
    "number": "1538509708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "BUILDING B SUITE 106",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-367-6366",
            "fax_number": "732-780-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W MAIN ST",
            "address_2": "BUILDING B SUITE 106",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077282537",
            "telephone_number": "732-367-6366",
            "fax_number": "732-780-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIACCIARELLI",
        "first_name": "ELLEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RN, MS, APN-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00446000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Choudhry, MD
• Suzanne Chrebet, PMHNP
• Michael J Chung, D.D.S., M.S.
• Sung Chung, MD
• Henry Chuu, LAC
• Gisela Ciampi
• Kristine Cigna, PHARMD, RPH
• Maria F. Ciminelli, M.D.
• Kaitlin Cipolla
• Joseph Cipriano, MD

• Acute Care Nurse Practitioner in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Acute Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.