Maria Elma Pontipiedra, FNP- BC
NPI 1326698853 · Nurse Practitioner · Toms River, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Maria Elma Pontipiedra, FNP- BC is a Nurse Practitioner provider in Toms River, NJ (NPI 1326698853).
Provider details
- NPI number
- 1326698853
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP- BC
- Sex
- Female
- Sole proprietor
- No
- License
- 26NJ00946200 (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
6 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
1,838 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 | 662 | $122 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 618 | $15 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 229 | $32 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 176 | $86 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 119 | $86 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 42 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 259 | 117 |
| Metformin Hcl | 197 | 91 |
| Semaglutidebrand: Ozempic | 128 | 66 |
| Insulin Glargine,hum.rec.anlogbrand: Toujeo Solostar | 98 | 47 |
| Dapagliflozin Propanediolbrand: Farxiga | 92 | 38 |
| Pen Needle, Diabeticbrand: Nano 2nd Gen Pen Needle | 85 | 51 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,325 across 109 records (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
- 2019-09-17
- Last updated
- 2019-09-17
Frequently asked questions
- What is Maria Elma Pontipiedra's NPI number?
- Maria Elma Pontipiedra's National Provider Identifier (NPI) is 1326698853, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maria Elma Pontipiedra's specialty?
- Maria Elma Pontipiedra is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Maria Elma Pontipiedra located?
- Maria Elma Pontipiedra's practice location on file with NPPES is 1886 Charlton Cir, Toms River, NJ 08755-1481.
- What is Maria Elma Pontipiedra's phone number?
- The practice phone number listed in the NPPES registry for Maria Elma Pontipiedra is (732) 914-1754.
- Does Maria Elma Pontipiedra accept Medicare?
- Maria Elma Pontipiedra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Maria Elma Pontipiedra's NPI active?
- Yes — Maria Elma Pontipiedra's NPI (1326698853) is active in the NPPES registry as of the last update on 2019-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.