Individual provider Active NPI

Melissa Jean Stephan, WHNP-BC, CNM

  • Advanced Practice Midwife
  • Voorhees, NJ
National Provider Identifier
1447909478
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00083600 Issued in NJ
Practice address
165 Route 73
Voorhees, NJ 08043-9526
Phone
(856) 341-8474
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X
Women's Health Nurse Practitioner 363LW0102X SP025482 PA
Advanced Practice Midwife 367A00000X 25ME00083600 NJ Primary

Addresses

Primary practice location

165 Route 73
Voorhees, NJ 08043-9526

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

401 W Germantown Pike
Norristown, PA 19403-4229
Phone (484) 441-3272

Other practice location 2

100 Independence Blvd Ste 100
Sicklerville, NJ 08081-1039
Phone (856) 341-8474

Other names 1

  • Miss Melissa Jean Fox Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mstephan258694@directvirtua.org
Direct Messaging Address mstephan258694@directvirtua.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925000591 NJ Practitioner - Certified Nurse Midwife (CNM) 0345694493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

165 Route 73
Voorhees, NJ 08043-9526
Phone (856) 341-8474

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
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
SP025482PAMDWomen's Health Nurse Practitioner
25ME00083600NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Aug 14, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 14, 2023 Accepting new patients
Womanwise Midwifery Advanced Practice Midwife PastSince Mar 1, 2022 Accepting new patients

Locations

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

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

100 Independence Blvd
Ste 100
Sicklerville, NJ 08081
Phone (856) 341-8474

165 Route 73
Voorhees, NJ 08043
Phone (856) 341-8474

Organizations & group practices 3

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1447909478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 ROUTE 73",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439526",
            "telephone_number": "856-341-8474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Germantown Pike",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194034229",
            "country_code": "US",
            "telephone_number": "484-441-3272",
            "fax_number": "215-242-9130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Independence Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sicklerville",
            "state": "NJ",
            "postal_code": "080811039",
            "country_code": "US",
            "telephone_number": "856-341-8474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHAN",
        "first_name": "MELISSA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "WHNP-BC, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP025482",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00083600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstephan258694@directvirtua.org",
            "affiliation": "N",
            "address_1": "165 Route 73",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstephan258694@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Independence Blvd Ste 100",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080811039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "FOX",
            "middle_name": "JEAN",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.