Individual provider Active NPI

Lori Ann Huntsinger, APN

  • Nurse Practitioner
  • Mount Laurel, NJ
National Provider Identifier
1275033003
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00771300 Issued in NJ
Practice address
15000 Midlantic Dr Ste 102
Mount Laurel, NJ 08054-1573
Phone
(856) 255-5479
Fax
(833) 606-0165
NPI assigned
Feb 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00771300 NJ Primary

Addresses

Primary practice location

15000 Midlantic Dr Ste 102
Mount Laurel, NJ 08054-1573

Mailing address

90 Matawan Rd Ste 302
Matawan, NJ 07747-2653
Phone (732) 441-7177

Other names 1

  • Miss Lori Ann Bofinger Former name

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
I20180426000088 NJ Practitioner - Nurse Practitioner 1355605486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Brain and Spine LLCGroup PAC ID 6608264833, 128 clinicians

Practice addresses (Care Compare)

2500 Morris Ave
Suite 220
Union, NJ 07083-5675
Phone (732) 906-9600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
54.35 of 100Reported as group
Quality
27.28
Promoting interoperability
0
Improvement activities
40
Cost
80.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Brain and Spine, LLC Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
Ra Pain Services PA CurrentSince Mar 20, 2018 Accepting new patients
Premier Brain and Spine LLC CurrentSince Feb 1, 2024 Accepting new patients
Freeman Pain Institute PA Past Accepting new patients

Locations

1801 New Rd
Ste Bc
Linwood, NJ 08221
Phone (855) 727-2465

90 Matawan Rd
Ste 302
Matawan, NJ 07747
Phone (201) 972-5568

15000 Midlantic Dr
Ste 102
Mount Laurel, NJ 08054
Phone (855) 727-2465

329 Greentree Rd
Sewell, NJ 08080
Phone (855) 727-2465

2501 Kuser Rd
Ste 3
Trenton, NJ 08691

2500 Morris Ave
Ste 220
Union, NJ 07083
Phone 7329069600312

1001 Laurel Oak Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 566-8600

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

Interoperability endpoints

  • Direct secure messaging: lori.huntsinger.1@21449.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1518998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1275033003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MATAWAN RD STE 302",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472653",
            "telephone_number": "732-441-7177",
            "fax_number": "732-441-7165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15000 MIDLANTIC DR STE 102",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541573",
            "telephone_number": "856-255-5479",
            "fax_number": "833-606-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTSINGER",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-19",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00771300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BOFINGER",
            "middle_name": "ANN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.