Individual provider Active NPI

Tracey A Hessert, APN

  • Adult Health Nurse Practitioner
  • Galloway, NJ
National Provider Identifier
1598734477
Registry record updated May 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00070800 Issued in NJ
Practice address
408 E Jimmie Leeds Rd
Galloway, NJ 08205-9706
Phone
(609) 652-6947
NPI assigned
Mar 14, 2006
Last updated
May 1, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2016

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 26NJ00070800 NJ Primary

Addresses

Primary practice location

408 E Jimmie Leeds Rd
Galloway, NJ 08205-9706

Mailing address

176 Pheasant Run Rd
Mays Landing, NJ 08330-4925
Phone (609) 703-5526

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
I20050317000903 NJ Practitioner - Nurse Practitioner 6507811940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medcorps Asthma and Pulmonary Specialists LLCGroup PAC ID 3375863764, 20 clinicians

Practice addresses (Care Compare)

222 New Rd
201 Medcorps Allergy and Pulmonary Speciali
Linwood, NJ 08221-1281
Phone (609) 788-8593

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00070800NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medcorps Asthma and Pulmonary Specialists LLC CurrentSince Dec 11, 2024 Accepting new patients
Jersey Spine Associates LLC PastSince Jul 21, 2017 Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients
Professional Pain Management Assoc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
My Home Telemed LLC PastSince Apr 6, 2021 Accepting new patients
Atlantic Pain and Physical Medicine PC Past Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Past Accepting new patients
Advanced Spine and Pain LLC Past Accepting new patients
Primary Housecall Providers, LLC Adult Health PastSince Feb 21, 2009 Accepting new patients

Locations

222 New Rd
Ste 201
Linwood, NJ 08221
Phone (609) 788-8593

100 Kings Way E
Ste D1
Sewell, NJ 08080
Phone (856) 264-2955

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11515/brand/1/csg/1/fhir/r4
  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_JSA
  • Direct secure messaging: tracey.hessert.1@11515.direct.athenahealth.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462060800000",
    "number": "1598734477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 PHEASANT RUN RD",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083304925",
            "telephone_number": "609-703-5526",
            "fax_number": "609-646-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059706",
            "telephone_number": "609-652-6947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSERT",
        "first_name": "TRACEY",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00070800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.