Individual provider Active NPI

Kayla Cheyenne Hamler, PA-C

  • Physician Assistant
  • Moorestown, NJ
National Provider Identifier
1437939956
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00810800 Issued in NJ
Practice address
401 Young Ave
Suite 275a
Moorestown, NJ 08057
Phone
(856) 206-4786
Fax
(856) 206-4789
NPI assigned
Oct 2, 2023
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00810800 NJ Primary

Addresses

Primary practice location

401 Young Ave
Suite 275a
Moorestown, NJ 08057

Mailing address

301 Lippincott Dr
Suite 410
Marlton, NJ 08053
Phone (856) 206-4786

Other practice location 1

1505 Saxony Dr
Mount Laurel, NJ 08054-6800
Phone (609) 241-9232 ext. 1

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address khamler277332@directvirtua.org Direct

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
I20231121003105 NJ Practitioner - Physician Assistant 5991153470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.76 of 100Reported as group
Quality
78.69
Improvement activities
40
Cost
74.94

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00810800NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 3, 2024 Accepting new patients
Healing at Home, LLC CurrentSince Oct 1, 2023 Accepting new patients
Virtua Medical Group, PA Physician Assistant CurrentSince Jun 3, 2024 Accepting new patients
Hamler Health Associates PastSince Oct 1, 2023 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 275A
Moorestown, NJ 08057
Phone (856) 206-4786

200 Walt Whitman Ave
Unit 1022
Mount Laurel, NJ 08054
Phone (609) 241-9232

Organizations & group practices 6

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": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1437939956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR",
            "address_2": "SUITE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-206-4786",
            "fax_number": "856-206-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE",
            "address_2": "SUITE 275A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-206-4786",
            "fax_number": "856-206-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Saxony Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080546800",
            "country_code": "US",
            "telephone_number": "609-241-9232 x1",
            "fax_number": "609-216-7447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMLER",
        "first_name": "KAYLA",
        "middle_name": "CHEYENNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00810800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khamler277332@directvirtua.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "401 Young Ave",
            "address_2": "Suite 275A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.