Individual provider Active NPI

Camille Duson-Thompson, CRNP

  • Adult Health Nurse Practitioner
  • Moorestown, NJ
National Provider Identifier
1114376068
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP015869 Issued in PA
Practice address
212 Marter Ave
Moorestown, NJ 08057-3114
Phone
(856) 291-4800
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP015869 PA Primary

Addresses

Primary practice location

212 Marter Ave
Moorestown, NJ 08057-3114

Mailing address

212 Marter Ave
Moorestown, NJ 08057-3114
Phone (856) 291-4800

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
I20250820000614 NJ Practitioner - Nurse Practitioner 6103119359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

4390 Route 130
Suite a
Willingboro, NJ 08046-1065
Phone (267) 781-7315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choice Hospice of New Jersey, LLC CurrentSince Jun 2, 2025 Accepting new patients
Life Choice Hospice of New Jersey, LLC Past Accepting new patients

Locations

4390 Route 130
Ste A
Willingboro, NJ 08046
Phone (267) 781-7315

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1114376068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573114",
            "telephone_number": "856-291-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MARTER AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573114",
            "telephone_number": "856-291-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSON-THOMPSON",
        "first_name": "CAMILLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP015869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.