Kelly St. Marie, MSN, FNP-C
NPI 1013626936 · Family Nurse Practitioner · Toms River, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly St. Marie, MSN, FNP-C is a Family Nurse Practitioner provider in Toms River, NJ (NPI 1013626936).
Provider details
- NPI number
- 1013626936
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ01399700 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,022 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 200 | $115 |
| Detection Test By Immunoassay With Direct Visual Observation for Influenza Virus87804 | 157 | $16 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 | 131 | $40 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 117 | $81 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 114 | $149 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone Propionate | 299 | 289 |
| Doxycycline Hyclate | 147 | 145 |
| Prednisone | 75 | 71 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 74 | 73 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 73 | 68 |
| Methylprednisolone | 64 | 64 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$125 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-11-18
- Last updated
- 2022-11-18
- Certified
- 2022-11-18
Frequently asked questions
- What is Kelly St. Marie's NPI number?
- Kelly St. Marie's National Provider Identifier (NPI) is 1013626936, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly St. Marie's specialty?
- Kelly St. Marie is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly St. Marie located?
- Kelly St. Marie's practice location on file with NPPES is 2360 Lakewood Rd, Toms River, NJ 08755-1929.
- What is Kelly St. Marie's phone number?
- The practice phone number listed in the NPPES registry for Kelly St. Marie is (732) 719-7788.
- Does Kelly St. Marie accept Medicare?
- Kelly St. Marie is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly St. Marie's NPI active?
- Yes — Kelly St. Marie's NPI (1013626936) is active in the NPPES registry as of the last update on 2022-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.