Audrey Llewellyn, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00733200 Issued in NJ

Practice address

2385 Springfield Ave
Vauxhall, NJ 07088-1046

Phone

(908) 687-4736

NPI assigned

Jul 6, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NJ, NY, IN, SC, VA, MD, NC, GA8 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 8

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: audrey.llewellyn.1@30409.direct.athenahealth.com
• Direct secure messaging: allewellyn18458@carelonhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carelon Medical Partners of North Carolina PC

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1659775831
  Medicare reassignment NPD
• Carelon Medical Partners, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Nashville, TN
  • NPI 1124443403

  GA, IN, NJ, SC, VA

  Medicare reassignment
• Medical Care at Home PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1811138415
  Medicare reassignment
• Caremore Medical Group of North Carolina, PC

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1750903134
  NPD
• Carelon Medical Partners of Kansas, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Leawood, KS
  • NPI 1952831422
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1033630470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 SPRINGFIELD AVE",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 SPRINGFIELD AVE",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881046",
            "telephone_number": "908-687-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLEWELLYN",
        "first_name": "AUDREY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-06",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00733200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL NP LICENSE",
            "identifier": "APRN9213867",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL RN LICENSE",
            "identifier": "RN9213867",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDS",
            "identifier": "P00787900",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodrigue Jerome
• Joseph Ballaro MD PC
• Priyanka Khanna, PHARM.D
• Anjali Khullar, O.D.
• Gina M Lacapra, M.D.
• Christina Love, LPN
• Luxottica of America Inc
• Diane M Marinko, MSN
• Wendy Mauss, P.T.
• Codi Lynn Melville

• Adult Health Nurse Practitioner in Vauxhall, NJ
• Providers in Vauxhall, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.