Active NPI
Lorraine Michelle Santucci, PHD RN APNC
- Nurse Practitioner
- Millville, NJ
National Provider Identifier
1538154349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NN07752400
- Practice address
- 1014 N High St
Millville, NJ 08332-2527 - Phone
- (856) 690-0627
- Fax
- (856) 690-0627
- NPI assigned
- Sep 19, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NN07752400 | NJ | Primary |
Addresses
Primary practice location
1014 N High St
Millville, NJ 08332-2527
Mailing address
3284 Swan Dr
Vineland, NJ 08361-7367
Phone (856) 690-0612
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1014 High St N
Millville, NJ 08332-2527
Phone (856) 690-0627
20 Magnolia Ave
Suite C
Bridgeton, NJ 08302-1759
Phone (856) 455-8833
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NN07752400 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jack M. Shields,M.D., PA | Current | Accepting new patients | |
| The Wholistic Center for Wellness Inc | Current | Accepting new patients |
Locations
20 Magnolia Ave
Ste C
Bridgeton, NJ 08302
Phone (609) 455-8833
1014 High St N
Millville, NJ 08332
Phone (856) 327-0320
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Bridgeton, NJ
- NPI 1245425206
-
- Internal Medicine Physician
- Millville, NJ
- NPI 1194712448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491264000000",
"number": "1538154349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3284 SWAN DR",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083617367",
"telephone_number": "856-690-0612",
"fax_number": "856-690-0627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 N HIGH ST",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083322527",
"telephone_number": "856-690-0627",
"fax_number": "856-690-0627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTUCCI",
"first_name": "LORRAINE",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "PHD RN APNC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-19",
"last_updated": "2017-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NN07752400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.