Individual provider Active NPI

Lisa Kern, APN-C

  • Nurse Practitioner
  • Galloway, NJ
National Provider Identifier
1104989961
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00091900 Issued in NJ
Practice address
318 Chris Gaupp Dr
Galloway, NJ 08205-4460
Phone
(609) 404-9900
Fax
(609) 404-3687
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00091900 NJ Primary
Adult Health Nurse Practitioner 363LA2200X 26NJ00091900 NJ

Addresses

Primary practice location

318 Chris Gaupp Dr
Galloway, NJ 08205-4460

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Phone (856) 342-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051007000671 NJ Practitioner - Nurse Practitioner 6002841772 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PA 506 clinicians
CMC Department of Medicine Group PA 474 clinicians

Practice addresses (Care Compare)

106 Court House S Dennis Rd
Suite 200
Cape May Court House, NJ 08210-1971
Phone (609) 407-2332

3 Cooper PLZ
Camden, NJ 08103-1438

318 Chris Gaupp Dr
Galloway, NJ 08205-4460
Phone (609) 404-9900

436 Chris Gaupp Dr
Suite 204
Galloway, NJ 08205-4488
Phone (609) 652-0100

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

Hospital & facility affiliations

  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Atlanticare Regional Medical Center - City Campus Hospital, Atlantic City, NJ, CCN 310064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00091900NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Primary Care PC CurrentSince Feb 6, 2017 Accepting new patients
Atlanticare Regional Medical Center CurrentSince Dec 12, 2017 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Nov 20, 2025 Accepting new patients
CMC Department of Medicine CurrentSince Nov 20, 2025 Accepting new patients
Atlanticare Regional Medical Center Nurse Practitioner CurrentSince Dec 12, 2017 Accepting new patients
Nik Parikh MD PA Past Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

1401 Atlantic Ave
Ste 2600
Atlantic City, NJ 08401
Phone (609) 441-8036

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

217 N Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-5440

2500 English Creek Ave
Ste 211
Egg Harbor Twp, NJ 08234
Phone (609) 677-6000

310 Chris Gaupp Dr
Ste 100A
Galloway, NJ 08205
Phone (609) 652-1115

318 Chris Gaupp Dr
Galloway, NJ 08205
Phone (609) 404-9900

310 Chris Gaupp Dr
Ste 100
Galloway, NJ 08205
Phone (609) 404-9900

436 Chris Gaupp Dr
Ste 204
Galloway, NJ 08205
Phone (609) 652-0100

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDEGAA

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1104989961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CHRIS GAUPP DR",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054460",
            "telephone_number": "609-404-9900",
            "fax_number": "609-404-3687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Stone Harbor Blvd",
            "address_purpose": "LOCATION",
            "city": "Cape May Court House",
            "state": "NJ",
            "postal_code": "082102138",
            "country_code": "US",
            "telephone_number": "856-342-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "LISA",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00091900",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00091900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.