Individual provider Active NPI

Lina Medeiros-Loras, APRN

  • Acute Care Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1376107326
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00917300 Issued in NJ
Practice address
2 Cooper PLZ
400 Haddon Ave
Camden, NJ 08103-1461
Phone
(855) 632-2667
NPI assigned
Apr 25, 2019
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00917300 NJ Primary

Addresses

Primary practice location

2 Cooper PLZ
400 Haddon Ave
Camden, NJ 08103-1461

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

Cooper University Hospital
1 cooper plaza
Camden, NJ 08103
Phone (856) 342-2000

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
I20190530003004 NJ Practitioner - Nurse Practitioner 3577896877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 968-8282

1 Federal St
Suite Sw200
Camden, NJ 08103-1005

1 Federal St
Suite Sw200
Camden, NJ 08103-1155

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

3 Cooper PLZ
Camden, NJ 08103-1438

3 Cooper PLZ
Suite 104
Camden, NJ 08103-1407
Phone (856) 968-7965

900 Centennial Blvd
Voorhees, NJ 08043-4637
Phone (855) 632-2667

900 Centennial Blvd M
Voorhees, NJ 08043-4637
Phone (856) 325-6750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince May 5, 2019 Accepting new patients
CMC Department of Medicine Group PA CurrentSince May 5, 2019 Accepting new patients

Locations

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
#200
Camden, NJ 08103

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

900 Centennial Blvd
Ste M
Voorhees, NJ 08043
Phone (856) 325-6750

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1556150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1376107326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COOPER PLZ",
            "address_2": "400 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "855-632-2667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Cooper University Hospital",
            "address_2": "1 cooper plaza",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-342-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEIROS-LORAS",
        "first_name": "LINA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-25",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00917300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.