Active NPI
Meshell Glasgow Mansor, APN-C
- Adult Health Nurse Practitioner
- Turnersville, NJ
National Provider Identifier
1154376127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00097200
- 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, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11018146 | FL | MD | Adult Health Nurse Practitioner |
| 26NJ00097200 | NJ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurse Practitioner Professional Resources | Adult Health | Current | Accepting new patients |
| Serenity Medical House Calls LLC | Adult Health | Current | 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
- https://api.platform.athenahealth.com/26288/brand/1/csg/1/fhir/r4
- 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.
-
- Adult Health Nurse Practitioner
- Blackwood, NJ
- NPI 1558516260
-
- Adult Health Nurse Practitioner
- Okahumpka, FL
- NPI 1790549384
-
- Gerontology Nurse Practitioner
- Hammonton(Elm), NJ
- NPI 1306993951
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.