Individual provider Active NPI

Jacqueline M Buss, CRNP

  • Primary Care Nurse Practitioner
  • Quakertown, PA
National Provider Identifier
1750941803
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP018465 Issued in PA
Practice address
5 Quakers Way
Quakertown, PA 18951-2754
Phone
(215) 536-0655
NPI assigned
Jun 19, 2019
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP018465 PA Primary

Addresses

Primary practice location

5 Quakers Way
Quakertown, PA 18951-2754

Mailing address

519 S 5TH St Ste 130
Perkasie, PA 18944-1061
Phone (215) 257-8601

Other names 1

  • Jacqueline M Herbert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190829000025 PA Practitioner - Nurse Practitioner 1153659115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trivalley Primary Care PCGroup PAC ID 4981680923, 57 clinicians

Practice addresses (Care Compare)

777 Route 113
Souderton, PA 18964-1000
Phone (215) 723-3280

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trivalley Primary Care, PC CurrentSince Aug 8, 2019 Accepting new patients
Delta Medical Group Past Accepting new patients

Locations

519 S 5th St
Ste 130
Perkasie, PA 18944
Phone (215) 257-8601

1532 Park Ave
Ste 101
Quakertown, PA 18951
Phone (215) 536-0655

5 Quakers Way
Quakertown, PA 18951
Phone (215) 453-5620

777 Route 113
Ofc
Souderton, PA 18964
Phone (215) 723-3280

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGDCBA
  • Direct secure messaging: jacqueline.herbert@tvpc.eclinicaldirectplus.com

Organizations & group practices 2

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 2

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1750941803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 S 5TH ST STE 130",
            "city": "PERKASIE",
            "state": "PA",
            "postal_code": "189441061",
            "telephone_number": "215-257-8601",
            "fax_number": "215-257-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 QUAKERS WAY",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512754",
            "telephone_number": "215-536-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSS",
        "first_name": "JACQUELINE",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP018465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "HERBERT",
            "middle_name": "M",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Quakertown, PA

Sources for this page

Verify at the official NPI Registry.