Individual provider Active NPI

Jennifer Wheeler, APN

  • Family Nurse Practitioner
  • Collingswood, NJ
National Provider Identifier
1346705548
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00882100 Issued in NJ
Practice address
600 Atlantic Ave
Collingswood, NJ 08108-3042
Phone
(856) 854-1050
NPI assigned
Feb 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00882100 NJ Primary

Addresses

Primary practice location

600 Atlantic Ave
Collingswood, NJ 08108-3042

Mailing address

54 Melrose Ave
Haddon Township, NJ 08108-2314
Phone (732) 337-8497

Other practice location 1

639 Stokes Rd Ste 102
Medford, NJ 08055-3003
Phone (609) 245-0416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
26NJ00882100NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Collingswood Family Medical Practice Past Accepting new patients

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": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1346705548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 MELROSE AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082314",
            "telephone_number": "732-337-8497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ATLANTIC AVE",
            "city": "COLLINGSWOOD",
            "state": "NJ",
            "postal_code": "081083042",
            "telephone_number": "856-854-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "639 Stokes Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080553003",
            "country_code": "US",
            "telephone_number": "609-245-0416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00882100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collingswood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.