Individual provider Active NPI

Stephanie Dianna Tyell Burton

  • Acute Care Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1750094397
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ01471900 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103-1461
Phone
(856) 342-3150
NPI assigned
Dec 28, 2022
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ01471900 NJ Primary
Acute Care Nurse Practitioner 363LA2100X SP026749 PA

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103-1461

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

1410 Weaver St
Philadelphia, PA 19150-2224
Phone (267) 234-3115

Other identifiers 1

IdentifierTypeStateIssuer
SP026749MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sburton@primecaremedical.com Direct

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
I20230629002416 NJ Practitioner - Nurse Practitioner 2365730900 Reassigns benefits to 3 organizations
I20251027003040 PA Practitioner - Nurse Practitioner 2365730900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Physician Offices PAGroup PAC ID 2860396611, 326 clinicians
Community Health Care, Inc.Group PAC ID 9335040419, 126 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-3150

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 513-4124

335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ01120800NJMDNurse Practitioner
SP026749PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Physician Offices, PA CurrentSince Jun 1, 2023 Accepting new patients
Community Health Care, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Revascmedprofessionals PC CurrentSince Aug 14, 2025 Accepting new patients
Community Health Care, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Cooper Care Alliance, PC PastSince Dec 27, 2021 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

144 Magnolia Dr
Cape May Court House, NJ 08210
Phone (609) 465-7070

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

2201 Chapel Ave W
Cherry Hill, NJ 08002
Phone (856) 488-6500

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

3809 Bayshore Rd
North Cape May, NJ 08204
Phone (609) 889-0677

2721 US Route 9
Ocean View, NJ 08230
Phone (609) 624-1715

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

727 Welsh Rd
Ste 103B
Huntingdon Valley, PA 19006
Phone (267) 951-3328

170 N Henderson Rd
Ste 310
Kng of Prussa, PA 19406
Phone (610) 481-9600

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Interoperability endpoints

  • Direct secure messaging: sburton68651@direct.cooperhealth.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1750094397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 Weaver St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191502224",
            "country_code": "US",
            "telephone_number": "267-234-3115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "STEPHANIE",
        "middle_name": "DIANNA TYELL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ01471900",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP026749",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SP026749",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sburton@primecaremedical.com",
            "affiliation": "N",
            "endpointDescription": "job email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "job email",
            "address_1": "1410 Weaver St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191502224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.