Individual provider Active NPI

Heather Elizabeth Fean, APN

  • Adult Health Nurse Practitioner
  • Berlin, NJ
National Provider Identifier
1538379771
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00087500 Issued in NJ
Practice address
181 W White Horse Pike
Suite 100
Berlin, NJ 08009-2032
Phone
(856) 767-6670
Fax
(856) 767-3518
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00087500 NJ Primary

Addresses

Primary practice location

181 W White Horse Pike
Suite 100
Berlin, NJ 08009-2032

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other identifiers 1

IdentifierTypeStateIssuer
077356 SK3OtherMEDICARE GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050913000332 NJ Practitioner - Nurse Practitioner 5799712485 Reassigns benefits to 2 organizations
I20231011000160 PA Practitioner - Nurse Practitioner 5799712485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rutgers New Jersey Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Consensus Medical Group LLCGroup PAC ID 2961748181, 138 clinicians

Practice addresses (Care Compare)

524 Williamstown Rd
Suite a
Sicklerville, NJ 08081-1800
Phone (856) 428-1890

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00087500NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Gastroenterology Associates PA CurrentSince Jul 14, 2015 Accepting new patients
Marc Feingold MD LLC Current Accepting new patients
Main Line Healthcare CurrentSince Oct 1, 2023 Accepting new patients
Consensus Medical Group LLC CurrentSince Aug 23, 2022 Accepting new patients
Provider Partners Care Management LP CurrentSince Feb 10, 2026 Accepting new patients
CMG Medical Group I LLC Past Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

1939 Route 70 E
Ste 250
Cherry Hill, NJ 08003
Phone (609) 429-4433

706 Bergen Ave
Ste 2
Jersey City, NJ 07306
Phone (201) 464-8888

420 Bridge Plaza Dr
Manalapan, NJ 07726
Phone (732) 536-8008

402 Lippincott Dr
Marlton, NJ 08053
Phone (410) 763-8787

404 Lippincott Dr
Marlton, NJ 08053

170 Changebridge Rd
Bldg C3
Montville, NJ 07045
Phone (973) 575-5540

524 Williamstown Rd
Sicklerville, NJ 08081
Phone (856) 262-9564

524 Williamstown Rd
Ste A
Sicklerville, NJ 08081
Phone (856) 728-1181

188 Fries Mill Rd
Ste D1
Turnersville, NJ 08012
Phone (856) 429-4433

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

150 E Pennsylvania Ave
Ste 200
Downingtown, PA 19335
Phone (484) 565-8500

1088 W Baltimore Pike
Ste 2301
Media, PA 19063
Phone (484) 227-8175

1088 W Baltimore Pike
Ste 2208
Media, PA 19063
Phone (610) 891-3049

3803 West Chester Pike
Ste 160
Newtown Square, PA 19073
Phone (484) 337-1530

Interoperability endpoints

  • Direct secure messaging: heather.fean.1@18614.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1538379771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W WHITE HORSE PIKE",
            "address_2": "SUITE 100",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080092032",
            "telephone_number": "856-767-6670",
            "fax_number": "856-767-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEAN",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00087500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "077356 SK3",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

Verify at the official NPI Registry.