Individual provider Active NPI

Nicole Dragun, FNP-C

  • Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1174112452
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ01114900 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(856) 342-2000
NPI assigned
Jan 12, 2021
Last updated
May 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP022194 PA
Nurse Practitioner 363L00000X 26NJ01114900 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

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
I20210524000937 NJ Practitioner - Nurse Practitioner 6709285869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Radiation Oncology PCGroup PAC ID 6305747601, 14 clinicians

Practice addresses (Care Compare)

900 Centennial Blvd D
Voorhees, NJ 08043-4637
Phone (856) 325-6660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
77.64
Promoting interoperability
98
Improvement activities
40
Cost
68.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP022194PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology, PC CurrentSince Apr 17, 2025 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Mar 1, 2021 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Mar 1, 2021 Accepting new patients
The Cooper Health System PastSince Apr 17, 2025 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2380

2 Cooper Plz
Fl 2
Camden, NJ 08103

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2270

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

3 Cooper Plz
Rm 513
Camden, NJ 08103
Phone (856) 963-3518

2 Plaza Dr
Ste 202
Sewell, NJ 08080
Phone (856) 270-4100

6015 Main St
Voorhees, NJ 08043
Phone (848) 288-6935

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

6200 Main St
Voorhees, NJ 08043
Phone (856) 325-6516

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

900 Centennial Blvd
Ste D
Voorhees, NJ 08043
Phone (856) 325-6660

900 Centennial Blvd
Ste F
Voorhees, NJ 08043
Phone (856) 325-6644

Interoperability endpoints

  • Direct secure messaging: ndragun110285@direct.cooperhealth.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1174112452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGUN",
        "first_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP022194",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ01114900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.