Tina Michelle Trautz-Damon, NURSE PRACTITIONER

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ15173400 Issued in NJ

Practice address

1773 Harrison CT
Turnersville, NJ 08012-2207

Phone

(856) 905-7976

NPI assigned

Oct 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Health Services IncGroup PAC ID 0840242467, 21 clinicians

Center for Family Guidance PCGroup PAC ID 2860396454, 164 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: tina.trautzdamonapn.p1@direct.cfg.nextgenshare.com

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.

• Center for Family Guidance, PC

  • Geriatric Psychiatry Physician
  • Marlton, NJ
  • NPI 1508803388

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Spectrum Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1265866107
  Medicare reassignment Care Compare group NPD
• JLS Medical PC

  • Psychiatry Physician
  • Newark, NJ
  • NPI 1164007043

  Psychiatric/Mental Health

  Medicare reassignment NPD
• NJ Behavioral Health Services PC

  • Clinical Psychologist
  • Paramus, NJ
  • NPI 1447289376

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Handles With Care

  • Geriatric Psychiatry Physician
  • Turnersville, NJ
  • NPI 1629948310
  NPD Authorized official
• Spectrum Health Services, Inc.

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1164300901
  NPD
• Spectrum Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Philadelphia, PA
  • NPI 1336878040
  NPD
• Bancroft, a New Jersey Nonprofit Corporation

  • Rehabilitation Clinic/Center
  • Cherry Hill, NJ
  • NPI 1720121106
  NPD (past)

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1295459352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 HARRISON CT",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122207",
            "telephone_number": "856-905-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 HARRISON CT",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122207",
            "telephone_number": "856-905-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUTZ-DAMON",
        "first_name": "TINA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15173400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Ann Thornton, RDN
• Gwendolyn Faye Timberman, MA LPC
• Township Sports Therapy & Work Hardening, P.C.
• Jennifer Lynn Tracey, LAC
• Sheila Tien Tran
• Tri-County Orthopaedic,P.a.
• Danielle Nicole Trotter, DNP, APN
• Turnersville Internal Medicine and Geriatrics
• Universal Dentistry Professional Association
• US Diagnostic Ultrasound Corporation

• Psychiatric/Mental Health Nurse Practitioner in Turnersville, NJ
• Providers in Turnersville, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.