Individual provider Active NPI

Jessica Rivell

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellmawr, NJ
National Provider Identifier
1659264463
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26NJ15337600 Issued in NJ
Practice address
928 Creek Rd Apt C17
Bellmawr, NJ 08031-1670
Phone
(856) 287-6367
NPI assigned
May 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ15337600 NJ Primary

Addresses

Primary practice location

928 Creek Rd Apt C17
Bellmawr, NJ 08031-1670

Mailing address

928 Creek Rd Apt C17
Bellmawr, NJ 08031-1670

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
I20250910003374 NJ Practitioner - Nurse Practitioner 6204339898

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

22 Prestige Cir
Suite 200
Allen, TX 75002-3441

6900 Dallas Pkwy LTC II
Suite 608
Plano, TX 75024-4200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synapse Behavioral Health Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

750 Route 73 S
Ste 210
Marlton, NJ 08053
Phone (856) 399-1010

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1659264463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 CREEK RD APT C17",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 CREEK RD APT C17",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311670",
            "telephone_number": "856-287-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVELL",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ15337600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellmawr, NJ

Sources for this page

Verify at the official NPI Registry.