Individual provider Active NPI

Emily Raeann Vanuytven, FNP-BC

  • Family Nurse Practitioner
  • Hamilton, NJ
National Provider Identifier
1295490159
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15439200 Issued in NJ
Practice address
1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone
(609) 581-9100
Fax
(609) 581-7588
NPI assigned
Nov 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209026329 IL
Family Nurse Practitioner 363LF0000X 2022010295 MO
Family Nurse Practitioner 363LF0000X SP033426 PA
Family Nurse Practitioner 363LF0000X 26NJ15439200 NJ Primary

Addresses

Primary practice location

1078 White Horse Ave
Hamilton, NJ 08610-1425

Mailing address

1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone (609) 581-9100

Other names 1

  • Emily Raeann-Vanuytven Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220520001308 MO Practitioner - Nurse Practitioner 8022495621
I20231219002684 IL Practitioner - Nurse Practitioner 8022495621 Reassigns benefits to 1 organization
I20251121001421 NJ Practitioner - Nurse Practitioner 8022495621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians
Mariam Maniya Internal Medicine PCGroup PAC ID 9830597210, 18 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

1078 White Horse Ave
Hamilton, NJ 08610-1425
Phone (609) 581-9100

4700 Memorial Dr
Belleville, IL 62226-5373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15439200NJMDFamily Nurse Practitioner
SP033426PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Jan 1, 2024 Accepting new patients
Fairview Heights Medical Group SC Current Accepting new patients
Mariam Maniya Internal Medicine PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4600 Memorial Dr
Ste 400
Belleville, IL 62226
Phone (618) 234-2390

4700 Memorial Dr
Ste 210
Belleville, IL 62226
Phone (618) 767-7700

660 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 463-6950

660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433

800 Denow Rd
Ste K
Pennington, NJ 08534
Phone (609) 303-0571

1001 Washington Blvd
Robbinsville, NJ 08691
Phone (609) 249-9001

1078 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 581-1400

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1295490159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101425",
            "telephone_number": "609-581-9100",
            "fax_number": "609-581-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 WHITE HORSE AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086101425",
            "telephone_number": "609-581-9100",
            "fax_number": "609-581-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANUYTVEN",
        "first_name": "EMILY",
        "middle_name": "RAEANN",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209026329",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022010295",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP033426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15439200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "ROGERS",
            "middle_name": "RAEANN-VANUYTVEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hamilton, NJ

Sources for this page

Verify at the official NPI Registry.