Individual provider Active NPI

Nicole Phillips, APN

  • Nurse Practitioner
  • Cape May Court House, NJ
National Provider Identifier
1487412706
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15029500 Issued in NJ
Practice address
11 Chestnut Oak Dr
Cape May Court House, NJ 08210-1862
Phone
(609) 675-6001
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15029500 NJ Primary

Addresses

Primary practice location

11 Chestnut Oak Dr
Cape May Court House, NJ 08210-1862

Mailing address

11 Chestnut Oak Dr
Cape May Court House, NJ 08210-1862
Phone (609) 675-6001

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
I20240412003201 NJ Practitioner - Nurse Practitioner 8921447764 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ15029500NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Nephrology Associates, P.a. CurrentSince Apr 3, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Nurse Practitioner CurrentSince Jul 31, 2025 Accepting new patients
Northeast Kidney Care LLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

1261 Route 9 S
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-0755

510 Jackson Ave
Northfield, NJ 08225
Phone 6093830200126

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

201 Laurel Oak Rd
#B
Voorhees, NJ 08043
Phone (856) 566-5478

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1487412706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHESTNUT OAK DR",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101862",
            "telephone_number": "609-675-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHESTNUT OAK DR",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082101862",
            "telephone_number": "609-675-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NICOLE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15029500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.