Carissa Nichole Depew, DNP, AGPCNP - Medicare Nurse Practitioner in Perth Amboy, NJ

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Carissa Nichole Depew, DNP, AGPCNP is a medicare enrolled "Nurse Practitioner" in Perth Amboy, New Jersey. She went to East Tennessee State University Quillen College Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wps Providers Inc and her current practice location is 530 New Brunswick Ave, Perth Amboy, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 442-3700.

Carissa Nichole Depew is licensed to practice in New Jersey (license number 26NJ15094400) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477079861.

Contact Information

Carissa Nichole Depew, DNP, AGPCNP
530 New Brunswick Ave,
Perth Amboy, NJ 08861-3654
(732) 442-3700
Not Available

Map and Direction




Provider's Profile

Full NameCarissa Nichole Depew
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location530 New Brunswick Ave, Perth Amboy, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Carissa Nichole Depew attended and graduated from East Tennessee State University Quillen College Of Medicine in 2017
  NPI Data:
  • NPI Number: 1477079861
  • Provider Enumeration Date: 08/17/2017
  • Last Update Date: 11/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517232986
  • Enrollment ID: I20171011001258

Medical Identifiers

Medical identifiers for Carissa Nichole Depew such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477079861NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 23054 (Tennessee)Secondary
363LG0600XNurse Practitioner - Gerontology 23054 (Tennessee)Secondary
363L00000XNurse Practitioner 26NJ15094400 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johnson City Medical CenterJohnson city, TNHospital
Wellmont Holston Valley Medical CenterKingsport, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wps Providers Inc771907953267

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carissa Nichole Depew allows following entities to bill medicare on her behalf.
Entity NameBlue Ridge Medical Management Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144380833
PECOS PAC ID: 9739099441
Enrollment ID: O20031204000996
Entity NameWps Providers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003904095
PECOS PAC ID: 7719079532
Enrollment ID: O20070824000581
Entity NameWellmont Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780986257
PECOS PAC ID: 8123291739
Enrollment ID: O20111026000909

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carissa Nichole Depew is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carissa Nichole Depew, DNP, AGPCNP
331 Newman Springs Rd,
Red Bank, NJ 07701-5688

Ph: () -		Carissa Nichole Depew, DNP, AGPCNP
530 New Brunswick Ave,
Perth Amboy, NJ 08861-3654

Ph: (732) 442-3700

Reviews and Comments


Nurse Practitioner Nurses in Perth Amboy, NJ

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Miss Sandra Nagy, WHNP-BC
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Prema Ramashwar, APN-C
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Nataliya Yuriy Titov,
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Phone: 848-565-8192    
Evelyn Javier, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 275 Hobart St, Perth Amboy, NJ 08861
Phone: 732-376-9333    Fax: 732-324-5765

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.