Individual provider Active NPI

Nicole Renee Branca, APN

  • Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
  • Westampton, NJ
National Provider Identifier
1144471293
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X
License
26NJ00171500 Issued in NJ
Practice address
650 Rancocas Rd
Westampton, NJ 08060-5613
Phone
(609) 518-2145
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist 364SP0807X 26NJ00171500 NJ Primary

Addresses

Primary practice location

650 Rancocas Rd
Westampton, NJ 08060-5613

Mailing address

650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 518-2145

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
I20090305000674 NJ Practitioner - Nurse Practitioner 0941366520 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Hampton IncGroup PAC ID 7911992912, 16 clinicians

Practice addresses (Care Compare)

650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 267-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00171500NJMDChild & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hampton, Inc Current Accepting new patients
Uhs of Hampton Inc CurrentSince Oct 1, 2008 Accepting new patients

Locations

650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1144471293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 RANCOCAS RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605613",
            "telephone_number": "609-518-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 RANCOCAS RD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080605613",
            "telephone_number": "609-518-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCA",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NJ",
            "license": "26NJ00171500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westampton, NJ

Sources for this page

Verify at the official NPI Registry.