Active NPI 1881964583 Individual Practitioner Female Practitioner

Nancy Badger , APN

Nurse Practitioner • Phillipsburg, NJ

Professional Overview & Biography Verified Profile Summary

Nancy Badger, APN is a registered healthcare professional specializing in Nurse Practitioner in Phillipsburg, NJ. Practice services are available at 410 COVENTRY DR under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, chronic care management services, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

410 Coventry Dr

Phillipsburg, NJ 088651978

Telephone 9084549902

Fax 9084549905

Associated Practice Facility / Clinic

🏢 Kaleidoscope Medical Associates, Pa Facility NPI 1356377105

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Phillipsburg, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 11.8 Yrs

State Avg: 9.5 Yrs

Regional Practice Density

10 Specialists

Practicing in Phillipsburg, NJ (1984 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	239	94	$131.29	$85.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	211	82	$131.29	$85.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	94	60	$98.79	$64.30
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	68	29	$60.26	$39.23
99316 Nursing facility discharge management, more than 30 minutes	58	53	$150.90	$98.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$170.43	$110.75
99335 Established patient assisted living visit, typically 25 minutes	27	16	$135.67	$88.40
99356 Prolonged inpatient or observation hospital service, first hour	21	13	$131.36	$85.76
99336 Established patient assisted living visit, typically 40 minutes	19	11	$193.45	$125.95
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	13	12	$98.79	$64.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	446	97	$99.87	$64.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	341	143	$131.80	$84.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	323	99	$131.80	$84.79
99316 Nursing facility discharge management, more than 30 minutes	118	107	$151.90	$97.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	88	63	$99.89	$64.26
99336 Established patient assisted living visit, typically 40 minutes	51	14	$193.74	$124.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$171.93	$110.15
99356 Prolonged inpatient or observation hospital service, first hour	23	19	$131.79	$84.78
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$137.93	$89.14
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	22	22	$254.61	$164.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$251.10	$161.03
99497 Advance care planning, first 30 minutes	15	14	$115.54	$72.58
99497 Advance care planning, first 30 minutes	15	15	$121.04	$77.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	446	128	$99.00	$63.92
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	242	90	$131.00	$84.47
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	192	96	$131.00	$84.46
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	113	80	$99.00	$63.89
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	87	78	$254.00	$163.41
99316 Nursing facility discharge management, more than 30 minutes	86	79	$151.00	$97.38
99336 Established patient assisted living visit, typically 40 minutes	57	18	$193.00	$124.09
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	38	34	$184.00	$118.12
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	29	23	$64.00	$41.37
99335 Established patient assisted living visit, typically 25 minutes	28	11	$136.00	$87.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$170.00	$109.03
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$250.00	$159.97
99318 Nursing facility annual assessment, typically 30 minutes	20	20	$138.00	$89.05

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NJ 26-NJ00361400

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

237110 (NJ)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Thaddeus Aversa , DO

Family Medicine

NPI 1417915968

Doctor of Osteopathic Medicine (D.O.)

Dr. Cecilia Rai , DO

Family Medicine

NPI 1578500468

Doctor of Osteopathic Medicine (D.O.)

Dr. Ana Gomes , DO, CMD

Family Medicine

NPI 1750348900

Doctor of Osteopathic Medicine (D.O.), CMD

Dr. Rachel Liebman , DO

Family Medicine

NPI 1780858118

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 14, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2015

Registered at 410 COVENTRY DR, PHILLIPSBURG, NJ 088651978 (Tel: 9084549902)

📍

Updated Business Mailing Address September 14, 2015

Registered at PO BOX 27957, SALT LAKE CITY, UT 841270957 (Tel: 9088351910)

👤

Provider Name / Credentials Updated September 14, 2015

Recorded as NANCY BADGER, APN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2015

Nurse Practitioner (License #26-NJ00361400 in NJ)

🟢

Initial NPI Registration & Enumeration January 11, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881964583

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 11, 2012

Last Update: September 14, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 27957

Salt Lake City, UT 841270957

Phone: 9088351910

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.