Individual provider Active NPI

Theresa Bell McEvoy, CRNP

  • Adult Health Nurse Practitioner
  • Media, PA
National Provider Identifier
1184371379
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP025210 Issued in PA
Practice address
1088 W Baltimore Pike Ste 2205
Media, PA 19063-5136
Phone
(610) 744-2960
NPI assigned
Mar 7, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X SP025210 PA Primary

Addresses

Primary practice location

1088 W Baltimore Pike Ste 2205
Media, PA 19063-5136

Mailing address

9 Washington Way
Swedesboro, NJ 08085-4219
Phone (610) 731-7994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20220711000880 PA Practitioner - Nurse Practitioner 1658751482 Reassigns benefits to 1 organization
I20240930000359 NJ Practitioner - Nurse Practitioner 1658751482 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

73 N Maple Ave B
Kennedy Health Alliance
Marlton, NJ 08053-1782
Phone (844) 542-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group NJ, PC CurrentSince Dec 3, 2024 Accepting new patients
David a Thomas, LTD CurrentSince Apr 11, 2022 Accepting new patients
David a Thomas, LTD CurrentSince Apr 11, 2022 Accepting new patients
GPS Physician Group of New Jersey, PC CurrentSince Aug 17, 2024 Accepting new patients
Kennedy Medical Group Practice P.C. CurrentSince Apr 1, 2025 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jun 15, 2021 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Apr 1, 2025 Accepting new patients
Regional Medical Specialty Associates CurrentSince Mar 13, 2022 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

115 Sunset Rd
Burlington Township, NJ 08016
Phone (609) 387-1091

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

12-15 Saddle River Rd
Fair Lawn, NJ 07410
Phone (201) 797-9522

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

73 N Maple Ave
Ste B
Marlton, NJ 08053
Phone (856) 596-0558

249 High St
Newton, NJ 07860
Phone (973) 383-5600

843 Wilbur Ave
Phillipsburg, NJ 08865
Phone (908) 454-2627

1351 Old Freehold Rd
Toms River, NJ 08753
Phone (732) 240-0090

301 N Route 73
West Berlin, NJ 08091
Phone (856) 557-6020

1088 W Baltimore Pike
Ste 2205
Rose Valley, PA 19063
Phone (610) 565-7010

Organizations & group practices 9

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": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1184371379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WASHINGTON WAY",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080854219",
            "telephone_number": "610-731-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE STE 2205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635136",
            "telephone_number": "610-744-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "THERESA",
        "middle_name": "BELL",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP025210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Media, PA

Sources for this page

Verify at the official NPI Registry.