Provider profile

Theresa D'Ambrosio

Nurse Practitioner, Pediatrics

NPI 1235564030
3575 Quakerbridge Rd, Hamilton, NJ 08619609-631-2816

Check your plan

Medicare Advantage plans for Mercer County, NJ.

Checked Oct 24, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

The 47 Medicare Advantage plans we show for Mercer County, NJ in 2027

  • 19 list Theresa
  • 28 not listed

UnitedHealthcare

11 plans list Theresa.

11plans
  • AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 645 State Route 18, Ste 5, East Brunswick, NJ, 08816
    • 10 Plum St, Ste 601, New Brunswick, NJ, 08901

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0755-038-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 645 State Route 18, Ste 5, East Brunswick, NJ, 08816
    • 10 Plum St, Ste 601, New Brunswick, NJ, 08901

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH0755-046-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx NJ-MA01 (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 645 State Route 18, Ste 5, East Brunswick, NJ, 08816
    • 10 Plum St, Ste 601, New Brunswick, NJ, 08901

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH0755-037-000Medicare.gov
    $0a month
  • AARP Medicare Advantage Patriot No Rx NJ-MA2 (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 645 State Route 18, Ste 5, East Brunswick, NJ, 08816
    • 10 Plum St, Ste 601, New Brunswick, NJ, 08901

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH8768-059-000Medicare.gov
    $0a month

Humana

6 plans list Theresa.

6plans
  • Humana Gold Plus H6622-099 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3601 A St, Philadelphia, PA, 19134

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-099-001Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3601 A St, Philadelphia, PA, 19134

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-221-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H5216-116 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3601 A St, Philadelphia, PA, 19134

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-116-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H5216-319 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 3601 A St, Philadelphia, PA, 19134

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-319-000Medicare.gov
    $0a month

AmeriHealth

1 plan lists Theresa.

1plan
  • AmeriHealth Medicare Classic Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3575 Mercerville Quakerbridge Rd, Hamilton, NJ, 08619
    • 645 State Route 18, Ste 5, East Brunswick, NJ, 08816
    • 10 Plum St, Ste 601, New Brunswick, NJ, 08901

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverageH6407-002-000Medicare.gov
    $0a month

Horizon Blue Cross Blue Shield of New Jersey

1 plan lists Theresa.

1plan
  • Horizon NJ TotalCare (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3575 Mercerville Quakerbridge Rd, Trenton, NJ, 08619
    • 645 State Route 18, Ste 5, East Brunswick, NJ, 08816
    • 10 Plum St, New Brunswick, NJ, 08901
    • 10 Plum St, Ste 601, New Brunswick, NJ, 08901
    • 10 Plum St, Fl 6, New Brunswick, NJ, 08901

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH8298-001-000Medicare.gov
    $36.30a month

Aetna Medicare

Not listed on its 11 plans here. That isn't proof they're out of network.

Clover Health

Not listed on its 4 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 6 plans here. That isn't proof they're out of network.

Jefferson Health Plans

Not listed on its 2 plans here. That isn't proof they're out of network.

Wellcare

Not listed on its 3 plans here. That isn't proof they're out of network.

Wellpoint

Not listed on its 2 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Theresa takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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Practice location

3575 Quakerbridge Rd
Hamilton, NJ 08619

NPI Registry
NPI issued
2013
Registry record updated
Oct 1, 2020

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Theresa D'Ambrosio?

In Mercer County, NJ, 19 Medicare Advantage plans for 2027 list Theresa in provider data from Medicare.gov or the carrier, including AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS), AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS) and AARP Medicare Advantage Patriot No Rx NJ-MA01 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Theresa D'Ambrosio take UnitedHealthcare Medicare Advantage plans?

Medicare.gov provider data lists Theresa on 11 Medicare Advantage plans for 2027 in Mercer County, NJ, including AARP Medicare Advantage Essentials from UHC NJ-1 (HMO-POS) and AARP Medicare Advantage Extras from UHC NJ-7 (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or UnitedHealthcare before you enroll.

Does Theresa D'Ambrosio take Humana Medicare Advantage plans?

Humana's own provider directory lists Theresa on 6 Medicare Advantage plans for 2027 in Mercer County, NJ, including Humana Gold Plus H6622-099 (HMO) and Humana USAA Honor Giveback (PPO). Confirm with the office or Humana before you enroll.

Does Theresa D'Ambrosio take AmeriHealth Medicare Advantage plans?

Medicare.gov provider data lists Theresa on one Medicare Advantage plan for 2027 in Mercer County, NJ: AmeriHealth Medicare Classic Rx (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or AmeriHealth before you enroll.

Where does Theresa D'Ambrosio practice?

3575 Quakerbridge Rd, Hamilton, NJ 08619.

How do I confirm Theresa is in my plan's network?

Call the member services number on your plan card and give them the NPI 1235564030, or ask a Silverpath advisor to check for you. It's free.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Theresa D'Ambrosio on 28 plans from Aetna Medicare, Clover Health, Devoted, Jefferson Health Plans, Wellcare and Wellpoint in Mercer County, NJ. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2020-10-01). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 24, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Theresa D'Ambrosio or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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