Individual provider Active NPI

Colleen Herten Thornton, CRNP

  • Adult Health Nurse Practitioner
  • Moorestown, NJ
National Provider Identifier
1629282603
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00431500 Issued in NJ
Practice address
300 W Route 38 Ste B
Moorestown, NJ 08057-3424
Phone
(609) 267-9400
NPI assigned
May 9, 2007
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R161878 MD
Nurse Practitioner 363L00000X 26NJ00431500 NJ
Adult Health Nurse Practitioner 363LA2200X SP010837 PA
Adult Health Nurse Practitioner 363LA2200X 26NJ00431500 NJ Primary

Addresses

Primary practice location

300 W Route 38 Ste B
Moorestown, NJ 08057-3424

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

131 Route 70 Ste 100B
Medford, NJ 08055-9501
Phone (609) 267-9400

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
I20140508000582 NJ Practitioner - Nurse Practitioner 6901971357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

131 Route 70
Suite 100
Medford, NJ 08055-9501
Phone (856) 673-3960

3242 Route 206
Bordentown, NJ 08505-4517

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R161878MDMDNurse Practitioner
26NJ00431500NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Dec 3, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Mar 1, 2014 Accepting new patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince Jul 19, 2023 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Mar 1, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

999 Route 73 N
Ste 401
Marlton, NJ 08053

4 Eves Dr
Ste A100
Marlton, NJ 08053
Phone (810) 790-4701

999 Route 73 N
Fl Third
Marlton, NJ 08053
Phone (856) 821-6360

773 Route 70 E
Ste E100
Marlton, NJ 08053
Phone (856) 942-3700

131 Route 70
Ste 100B
Medford, NJ 08055
Phone (609) 424-3600

401 Young Ave
Ste 245
Moorestown, NJ 08057
Phone (800) 896-7326

300 W Route 38
Moorestown, NJ 08057
Phone 60926794001224

300 W Route 38
Ste B
Moorestown, NJ 08057
Phone (856) 295-9985

200 Bowman Dr
Ste 100
Voorhees, NJ 08043

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

Interoperability endpoints

  • Direct secure messaging: cthornton19220@directvirtua.org

Organizations & group practices 5

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629282603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ROUTE 38 STE B",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573424",
            "telephone_number": "609-267-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Route 70 Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080559501",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THORNTON",
        "first_name": "COLLEEN",
        "middle_name": "HERTEN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R161878",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00431500",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP010837",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00431500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.