NICOLE LUPO (PA-C) – Surgery Physician, NPI 1639699713

NICOLE LUPO (PA-C) is a healthcare provider. based in Freehold, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 25MP00434000 (NJ). The NPI Number for NICOLE LUPO (PA-C) is 1639699713

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LUPO (PA-C)
NPI
1639699713
Phone
Not provided
Address
10 CRIMSON LN
Enumeration Date
21 June 2017
Last Update Date
21 June 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7327764755
Graduation Year
2017 (9 years ago)
PAC ID
0648544494
Group Practice PAC ID
9133032519
Professional Enrollment ID
I20170919000088
Address ID
NJ087247732BR425XXBLVD434
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for NICOLE LUPO (PA-C)

  • 10, Crimson Lane, Four Maples, Freehold Township, Monmouth County, New Jersey, 07728, United States

    FREEHOLD, NJ 077289013

    Phone:

    Type: Mailing

  • 255 MONMOUTH RD

    OAKHURST, NJ 077551515

    Phone: (732) 531-5445

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $803.

Total Amount is formed as General ($803) + Research ($0) + Ownership ($0) = $803.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Dilon Technologies, Inc. ($479).

Total Amount

$803

General + Research + Ownership

Payments

9

Total payment records

General Amount

$803

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170919000088IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7159$0
99442Telephone medical discussion with physician, 11-20 minutes4342$0
99441Telephone medical discussion with physician, 5-10 minutes3939$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 07728)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133032519View full group profile
NameSpecialtyState
-NY
-NJ
Geriatric Medicine, Internal MedicineNJ
Nurse PractitionerNJ
Physician AssistantNJ
Vascular SurgeryNY
Physician AssistantNJ
Physician AssistantNY
Orthopedic SurgeryNJ
General SurgeryNJ

Reviews

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Frequently asked questions

Where can patients find NICOLE LUPO (PA-C)'s NPI?
You can confirm NICOLE LUPO (PA-C) with NPI 1639699713; it appears in the national provider directory.
Is NICOLE LUPO (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does NICOLE LUPO (PA-C) treat or focus on?
Patients typically see NICOLE LUPO (PA-C) under the specialty Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for NICOLE LUPO (PA-C)?
We surface Freehold, New Jersey for NICOLE LUPO (PA-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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