Lynnsey Nicole Null, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

26NJ01077000 Issued in NJ

Practice address

401 Young Ave Ste 325
Moorestown, NJ 08057-4800

Phone

(856) 291-8865

Fax

(856) 291-8880

NPI assigned

Nov 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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 2

Specialty

Nurse Practitioner

Education

Drexel University College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Jefferson University Physicians

  • General Practice Physician
  • Philadelphia, PA
  • NPI 1326093675
  Medicare reassignment Care Compare group NPD
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Jefferson University Physicians

  • Gastroenterology Physician
  • Phila, PA
  • NPI 1205898723
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Thomas Jefferson University Hospitals Inc

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1215916002
  Care Compare affiliation

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

{
    "created_epoch": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1073114500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DRIVE SUITE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 325",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080574800",
            "telephone_number": "856-291-8865",
            "fax_number": "856-291-8880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3242 Route 206 Building A, Suite 1",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "NJ",
            "postal_code": "085054800",
            "country_code": "US",
            "telephone_number": "609-444-5505",
            "fax_number": "609-444-5506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 Route 206 Units 11, 12, & 13",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NJ",
            "postal_code": "080884800",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "fax_number": "856-291-8880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Burrs Road Suites A&B",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080604800",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "fax_number": "856-291-8880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NULL",
        "first_name": "LYNNSEY",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP022616",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ01077000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lnull185290@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 325",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080574800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lnull185290@directvirtua.org",
            "affiliation": "N",
            "address_1": "101 Burrs Road Suites A&B",
            "city": "Westampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080604800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lnull185290@directvirtua.org",
            "affiliation": "N",
            "address_1": "1805 Route 206 Units 11, 12, & 13",
            "city": "Southampton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080884800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lnull185290@directvirtua.org",
            "affiliation": "N",
            "address_1": "3242 Route 206 Building A, Suite 1",
            "city": "Mansfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085054800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nightingale Foundation for Behavioral Health
• Elena Nirenberg, M.D.
• Victor J. Nitti Jr., PH.D.
• Cynthia Nossen, PA
• Nu'Yu Radiense, LLC
• David Alexander Nunes, OD
• Colleen O'Brien
• Kevin Paul O'Donnell, M.D.
• Mikhail Oakes, LSW
• Occupational Training Center of Burlington County Inc.

• Women's Health Nurse Practitioner in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.