Vivian Adiele
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Phillipsburg, NJ
NPI 1124447024 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1124447024
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 26NJ00569000 (NJ)
- Practice address
- 201 Strykers Rd Ste 19-218
Phillipsburg, NJ 08865-5400 - Phone
- (908) 514-4331
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
201 Strykers Rd
Suite 19 218
Phillipsburg, NJ 08865-5400
Phone (908) 514-4331
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 76.57
- Improvement activities
- 40
- Cost
- 69.58
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150507002388 | PA | Practitioner - Nurse Practitioner | 4587983853 | Reassigns benefits to 4 organizations |
| I20240418002717 | NJ | Practitioner - Nurse Practitioner | 4587983853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP029429 | PA | MD | Psychiatric/Mental Health Nurse Practitioner |
| SP014867 | PA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RFVW Healthcare PC | Current |
Accepting new patients | |
| Rosenfeld Vanwirt PC | Current |
Accepting new patients | |
| Hospitalist Medicine Physicians of Pennsylvania, P.C. | Current |
Accepting new patients | |
| Veedel Behavioral Health LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Albert Gallatin Home Care and Hospice Services, LLC | Past | Accepting new patients |
Locations
201 Strykers Rd
Ste 19218
Phillipsburg, NJ 08865
Phone (908) 416-3001
1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410
1 E Broad St
Ste 130
Bethlehem, PA 18018
3477 Corporate Pkwy
Ste 100
Center Valley, PA 18034
Phone (484) 626-0480
2430 Butler St
Easton, PA 18042
Phone (267) 347-0041
1718 Spring Creek Rd
Macungie, PA 18062
Phone (610) 366-0500
1 S Home Ave
Topton, PA 19562
Phone (610) 682-1275
1368 Mall Run Rd
Ste 628
Uniontown, PA 15401
Phone (724) 438-6660
559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP029429 | PA | |
| Primary Care Nurse Practitioner | 363LP2300X | SP014867 | PA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 26NJ00569000 | NJ | Yes |
Addresses
Primary practice location
201 Strykers Rd Ste 19-218
Phillipsburg, NJ 08865-5400
Mailing address
201 Strykers Rd Ste 19-218
Phillipsburg, NJ 08865-5400
Phone (908) 514-4331
Other practice location 1
3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone (484) 626-0480
Other practice location 2
2430 Butler St
Easton, PA 18042-5303
Phone (908) 514-4331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103012868-0034 | Medicaid | PA | |
| 0979520 | Medicaid | NJ | |
| 104319313-0001 | Medicaid | PA | |
| 0978817 | Medicaid | NJ |
Other providers in Phillipsburg, NJ
- Vanessa Aboagye
- Alexandra Abrantes
- Adam J. Teichman, DPM
- Adaptive Dental Associates LLC
- Abimbola Adeyemo
- Advanced Digital Imaging of New Jersey PC
- Advanced Rehabilitation of West Jersey, PC
- Affiliates in Clinical Services
- Affiliates in Clinical Services
- Affiliates in Clinical Services
All providers in Phillipsburg, NJ · Psychiatric/Mental Health Nurse Practitioner in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.