Individual provider Active NPI

Ellen Wilson-Tarpeh, DNP/FNP/APN-BC

  • Family Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1144406620
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00284600 Issued in NJ
Practice address
817 Federal St
Camden, NJ 08103-1539
Phone
(215) 227-0300
NPI assigned
Jan 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00284600 NJ Primary
Family Nurse Practitioner 363LF0000X SP009623 PA

Addresses

Primary practice location

817 Federal St
Camden, NJ 08103-1539

Mailing address

817 Federal St
Camden, NJ 08103-1539
Phone (856) 583-2400

Other practice location 1

52 Bailly Dr
Burlington, NJ 08016-4289
Phone (609) 477-9354

Other names 1

  • Ellen Wilson-Dorsey Former name

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
I20100524000711 NJ Practitioner - Nurse Practitioner 7113009119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

807 N Haddon Ave
Suite 215
Haddonfield, NJ 08033-1749
Phone (856) 400-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00284600NJMDFamily Nurse Practitioner
SP009623PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation CurrentSince Apr 7, 2019 Accepting new patients
Wilson'S Health and Weight Management LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

807 N Haddon Ave
Ste 215
Haddonfield, NJ 08033
Phone (856) 400-0064

Organizations & group practices 3

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": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1144406620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-583-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "215-227-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Bailly Dr",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NJ",
            "postal_code": "080164289",
            "country_code": "US",
            "telephone_number": "609-477-9354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-TARPEH",
        "first_name": "ELLEN",
        "credential": "DNP/FNP/APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00284600",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP009623",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "WILSON-DORSEY",
            "credential": "DNP/FNP/APN-BCAPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.