Individual provider Active NPI

Caryn Elisabeth Vance, APN-C

  • Women's Health Nurse Practitioner
  • West Deptford, NJ
National Provider Identifier
1174970305
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
26NJ00641200 Issued in NJ
Practice address
600 Jessup Rd
West Deptford, NJ 08066-2413
Phone
(856) 845-4061
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 26NJ00641200 NJ Primary

Addresses

Primary practice location

600 Jessup Rd
West Deptford, NJ 08066-2413

Mailing address

75 Tarragon CT
West Deptford, NJ 08086-2418
Phone (609) 221-7781

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
I20160708000725 NJ Practitioner - Nurse Practitioner 6204128408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Medical Group PCGroup PAC ID 4880797570, 238 clinicians

Practice addresses (Care Compare)

698 Mullica Hill Rd
Suite 220
Mullica Hill, NJ 08062-4453
Phone (856) 845-4061

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inspira Health Network Medical Group, P.C. CurrentSince Jul 1, 2016 Accepting new patients

Locations

1450 Almonesson Rd
Ste 275
Deptford, NJ 08096
Phone (856) 641-8680

1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071

698 Mullica Hill Rd
Ste 220
Mullica Hill, NJ 08062
Phone (856) 845-4061

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

600 Jessup Rd
West Deptford, NJ 08086
Phone (856) 845-4061

Organizations & group practices 1

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": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1174970305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 TARRAGON CT",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080862418",
            "telephone_number": "609-221-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JESSUP RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080662413",
            "telephone_number": "856-845-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANCE",
        "first_name": "CARYN",
        "middle_name": "ELISABETH",
        "name_prefix": "Miss",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00641200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.