Ernestina S Archer, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00739700 Issued in NJ

Practice address

817 Federal St
Camden, NJ 08103-1539

Phone

(856) 583-2496

NPI assigned

Jul 5, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Legacy Treatment Services IncGroup PAC ID 0042526899, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Legacy Treatment Services Inc

  • Community/Behavioral Health Agency
  • Hainesport, NJ
  • NPI 1730594656
  Medicare reassignment Care Compare group NPD
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1790857696
  Medicare reassignment NPD
• Ocean Health Initiatives Inc

  • Federally Qualified Health Center (FQHC)
  • Lakewood, NJ
  • NPI 1043306574
  Medicare reassignment NPD
• Archercare LLC

  • Nurse Practitioner
  • Mount Laurel, NJ
  • NPI 1821782483
  NPD Authorized official
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Clementon, NJ
  • NPI 1508035064
  NPD
• Camcare Health Corporation

  • Federally Qualified Health Center (FQHC)
  • Camden, NJ
  • NPI 1912179953
  NPD
• Legacy Treatment Serivces, Inc.

  • Community/Behavioral Health Agency
  • Berlin, NJ
  • NPI 1265920466
  NPD
• Legacy Treatment Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Pennington, NJ
  • NPI 1770362253
  NPD
• Ocean Health Initiatives, Inc

  • Federally Qualified Health Center (FQHC)
  • Toms River, NJ
  • NPI 1417938044
  NPD
• Pooja-Preksha Inc.

  • Primary Care Clinic/Center
  • Cherry Hill, NJ
  • NPI 1326484551
  NPD (past)

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

{
    "created_epoch": "1499212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1376064915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 BENNETTS MILLS RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 FEDERAL ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031539",
            "telephone_number": "856-583-2496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Dan Rd",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086201643",
            "country_code": "US",
            "telephone_number": "856-751-4831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1910 Marlton Pike E Ste 6",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032123",
            "country_code": "US",
            "telephone_number": "856-751-4831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "ERNESTINA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-05",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00739700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Lynn Appel, MSN, APN, AGACNP-BC
• Michelle Smith Aquino, CRNA
• Rajiv Arapurakal, M.D.
• Deepa Arathala, MD
• Arc of Camden County Myrtle Ave Supported Living
• Daniel Jose Arenas, MD PHD
• Aaron C Armorer
• James M Armstrong, M.D.
• Elnasif Mohamed Arrayeh
• Aileen Grace Arriola, M.D.

• Family Nurse Practitioner in Camden, NJ
• Providers in Camden, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.