Jenie Marylynn Mussallem, MS, CNS

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

145 Independence Dr
Morrisville, PA 19067-4910

Phone

(267) 565-7915

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jenie Marylynn Liberatore Former name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Simplex HealthGroup PAC ID 8022354182, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Science

Practice roles

Locations

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.

• Simplex Health

  • Registered Dietitian
  • Ambler, PA
  • NPI 1598137218
  Medicare reassignment Care Compare group NPD
• Adrian Chiu, PH.D., PLLC

  • Psychologist
  • Ambler, PA
  • NPI 1366890337
  NPD (past)

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1538853650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 INDEPENDENCE DR",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190674910",
            "telephone_number": "267-565-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 INDEPENDENCE DR",
            "city": "MORRISVILLE",
            "state": "PA",
            "postal_code": "190674910",
            "telephone_number": "267-565-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSALLEM",
        "first_name": "JENIE",
        "middle_name": "MARYLYNN",
        "name_prefix": "Mrs.",
        "credential": "MS, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENIE",
            "last_name": "LIBERATORE",
            "middle_name": "MARYLYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Morrisville Ambulance Squad
• Morrisville Pharmacy
• Morrisville Pharmacy Inc
• Morrisville Yardley Family Practice
• Katina Moyer, M.ED
• Steve Nagib
• NF Healthcare LLC
• Joseph Paglione, D.C.
• Alyson Pane
• Indu Sitaram Patel

• Nutritionist in Morrisville, PA
• Providers in Morrisville, PA by specialty
• Nutritionist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.