Kellie M Cervini, APN-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

26NJ00272600 Issued in NJ

Practice address

1125 Delsea Dr N
Glassboro, NJ 08028

Phone

(856) 218-7600

Fax

(856) 218-7800

NPI assigned

Jan 19, 2012

Sex

Female

Sole proprietor

No

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Inspira Health Network Urgent Care, P.C.

  • Urgent Care Clinic/Center
  • Mullica Hill, NJ
  • NPI 1255613329
  Medicare reassignment Care Compare group
• Inspira SJ Urgent Care PC

  • Urgent Care Clinic/Center
  • Vineland, NJ
  • NPI 1619320991
  Medicare reassignment NPD
• Inspira Health Network Medical Group, P.C.

  dba Inspira Medical Group

  • Multi-Specialty Clinic/Center
  • Glassboro, NJ
  • NPI 1922177856
  Medicare reassignment
• American Workcare, PC

  • Clinic/Center
  • Glassboro, NJ
  • NPI 1497830954
  NPD (past)
• Regional Diagnostic Imaging, LLC

  • Diagnostic Radiology Physician
  • Vineland, NJ
  • NPI 1972575892
  NPD (past)
• South Jersey Urgicare LLC

  dba Vineland Urgent Care

  • Urgent Care Clinic/Center
  • Vineland, NJ
  • NPI 1144643909
  NPD (past)

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1376814590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080280736",
            "telephone_number": "856-218-7600",
            "fax_number": "856-218-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 DELSEA DR N",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "08028",
            "telephone_number": "856-218-7600",
            "fax_number": "856-218-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 E Main St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "NJ",
            "postal_code": "083324259",
            "country_code": "US",
            "telephone_number": "856-740-9555",
            "fax_number": "856-765-7395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "122 E Main St",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "NJ",
            "postal_code": "083324259",
            "country_code": "US",
            "telephone_number": "856-740-9555",
            "fax_number": "856-765-7395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERVINI",
        "first_name": "KELLIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-19",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00272600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Castro, PT,DPT,ATC
• Center for Family Services, Inc.
• Center for Family Services, Inc.
• Center for Family Services, Inc.
• Center for Mental Wellness
• Judith Marie Checca, RPH
• Marissa R Cheli, MS, ADCI
• Yvonne W Chen, D.M.D.
• Cheryl E. Smith, M.D., P.C.
• Darrell Keith Choates Sr., CARE GIVER

• Adult Health Nurse Practitioner in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Adult Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.