Individual provider Active NPI

Meshell Glasgow Mansor, APN-C

  • Adult Health Nurse Practitioner
  • Turnersville, NJ
National Provider Identifier
1154376127
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00097200 Issued in NJ
Practice address
4361 Route 42
Turnersville, NJ 08012-1794
Phone
(856) 885-4579
Fax
(856) 885-4582
NPI assigned
May 24, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11018146 FL
Adult Health Nurse Practitioner 363LA2200X 26NJ00097200 NJ Primary

Addresses

Primary practice location

4361 Route 42
Turnersville, NJ 08012-1794

Mailing address

233 Roberts Ave
Bellmawr, NJ 08031-2711
Phone (856) 728-3251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080604000739 NJ Practitioner - Nurse Practitioner 2860415072 Reassigns benefits to 1 organization
I20240328002648 FL Practitioner - Nurse Practitioner 2860415072 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11018146FLMDAdult Health Nurse Practitioner
26NJ00097200NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nurse Practitioner Professional Resources Adult Health CurrentSince Apr 8, 2009 Accepting new patients
Serenity Medical House Calls LLC Adult Health CurrentSince Jan 1, 2024 Accepting new patients
Visiting Physician Associates of South Jersey LLC Past Accepting new patients

Locations

4361 Route 42
Turnersville, NJ 08012
Phone (856) 885-4579

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26288/brand/1/csg/1/fhir/r4
  • Direct secure messaging: meshell.mansor.1@32703.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1154376127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ROBERTS AVE",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080312711",
            "telephone_number": "856-728-3251",
            "fax_number": "856-669-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4361 ROUTE 42",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080121794",
            "telephone_number": "856-885-4579",
            "fax_number": "856-885-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSOR",
        "first_name": "MESHELL",
        "middle_name": "GLASGOW",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11018146",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00097200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.