Individual provider Active NPI

Denise S Trumbauer, DNP, APN, BC

  • Adult Health Nurse Practitioner
  • Venice, FL
National Provider Identifier
1477558351
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00030600 Issued in NJ
Practice address
1156 Piedmont Rd
Venice, FL 34293-4843
Phone
(609) 432-5417
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11009647 FL
Adult Health Nurse Practitioner 363LA2200X 26NJ00030600 NJ Primary
Adult Health Nurse Practitioner 363LA2200X SP003816C PA

Addresses

Primary practice location

1156 Piedmont Rd
Venice, FL 34293-4843

Mailing address

106 Anita Dr
Egg Harbor Township, NJ 08234-7522
Phone (609) 926-8485

Other practice location 1

106 Anita Dr
Egg Harbor Township, NJ 08234-7522
Phone (609) 432-5417

Other practice location 2

505 Hamilton Ave
Suite 205
Linwood, NJ 08221-1057
Phone (609) 788-4576

Other identifiers 1

IdentifierTypeStateIssuer
067790OtherPROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Venice Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20041209000173 NJ Practitioner - Nurse Practitioner 6406812692 Reassigns benefits to 3 organizations
I20190829001908 PA Practitioner - Nurse Practitioner 6406812692 Reassigns benefits to 1 organization
I20210426002598 FL Practitioner - Nurse Practitioner 6406812692 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Circle Medical Care Group of New Jersey PCGroup PAC ID 9830629419, 8 clinicians

Practice addresses (Care Compare)

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (855) 487-8497

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11009647FLMDAdult Health Nurse Practitioner
SP003816CPAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group PA CurrentSince Apr 18, 2025 Accepting new patients
Nurse Practitioner Professional Resources Adult Health CurrentSince Nov 1, 2018 Accepting new patients
Medassist USA LLC CurrentSince Dec 11, 2020 Accepting new patients
Circle Medical Care Group of New Jersey PC CurrentSince Jan 1, 2025 Accepting new patients
Circle Medical Care Group PA Past Accepting new patients
Visiting Physician Associates of South Jersey LLC Past Accepting new patients
Circle Medical Care of California Past Accepting new patients
Mainland Heart Consultants Past Accepting new patients
Radiology & MRI of Bethlehem, Inc. Past Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

400 N Tampa St
Fl 15
Tampa, FL 33602
Phone (844) 435-6833

419 E County Line Rd
Lakewood, NJ 08701
Phone (845) 377-6670

525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444

830 Morris Tpke
Ste 401
Short Hills, NJ 07078
Phone (848) 289-1892

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26288/brand/1/csg/1/fhir/r4

Organizations & group practices 10

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1477558351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ANITA DR",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082347522",
            "telephone_number": "609-926-8485",
            "fax_number": "609-788-8111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 PIEDMONT RD",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342934843",
            "telephone_number": "609-432-5417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Anita Dr",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor Township",
            "state": "NJ",
            "postal_code": "082347522",
            "country_code": "US",
            "telephone_number": "609-432-5417",
            "fax_number": "609-788-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 Hamilton Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Linwood",
            "state": "NJ",
            "postal_code": "082211057",
            "country_code": "US",
            "telephone_number": "609-788-4576",
            "fax_number": "609-788-4589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUMBAUER",
        "first_name": "DENISE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DNP, APN, BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11009647",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00030600",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP003816C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "067790",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Venice",
            "affiliation": "N",
            "endpointDescription": "Using Practice Fusion via secure cloud",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1156 Piedmont Rd",
            "city": "Venice",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342934843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.