Individual provider Active NPI

Kathleen Meyer, A.N.P.

  • Adult Health Nurse Practitioner
  • Morristown, NJ
National Provider Identifier
1477675775
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NO08574200 Issued in NJ
Practice address
182 South St
Suite 1
Morristown, NJ 07960-5377
Phone
(973) 267-0300
Fax
(973) 695-1480
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NO08574200 NJ Primary
Nurse Practitioner 363L00000X 2273436 MA

Addresses

Primary practice location

182 South St
Suite 1
Morristown, NJ 07960-5377

Mailing address

182 South St
Suite 1
Morristown, NJ 07960-5377
Phone (973) 267-0300

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
I20110608000791 NJ Practitioner - Nurse Practitioner 3779760202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.6

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Dermatologists and Dermatologic Surgeons, P.a. CurrentSince Jan 1, 2011 Accepting new patients
Nancy a Spinelli DO PA CurrentSince Aug 13, 2013 Accepting new patients
The Dermatology Center of New Jersey, PC Past Accepting new patients

Locations

35 W Main St
Ste 201
Denville, NJ 07834
Phone (973) 627-3635

182 South St
Ste 1
Morristown, NJ 07960
Phone (973) 267-0300

Interoperability endpoints

  • Direct secure messaging: kathleen.meyer@affiliateddermatologists.chartmakerdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHIGAA

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1477675775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 SOUTH ST",
            "address_2": "SUITE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605377",
            "telephone_number": "973-267-0300",
            "fax_number": "973-695-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 SOUTH ST",
            "address_2": "SUITE 1",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605377",
            "telephone_number": "973-267-0300",
            "fax_number": "973-695-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "KATHLEEN",
        "credential": "A.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NO08574200",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "2273436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.