Active NPI
Heather Lines Degelman, RN APNC
- Nurse Practitioner
- Basking Ridge, NJ
National Provider Identifier
1770656274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NN08813500
- Practice address
- 8000 Fellowship Rd
Basking Ridge, NJ 07920-3915 - Phone
- (908) 580-3822
- Fax
- (908) 647-2953
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NN08813500 | NJ | Primary |
Addresses
Primary practice location
8000 Fellowship Rd
Basking Ridge, NJ 07920-3915
Mailing address
275 A Eyland Ave
Succusunna, NJ 07876-1168
Phone (973) 252-1526
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
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.
-
- Skilled Nursing Facility
- Basking Ridge, NJ
- NPI 1659411437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443484800000",
"number": "1770656274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 A EYLAND AVE",
"city": "SUCCUSUNNA",
"state": "NJ",
"postal_code": "078761168",
"telephone_number": "973-252-1526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 FELLOWSHIP RD",
"city": "BASKING RIDGE",
"state": "NJ",
"postal_code": "079203915",
"telephone_number": "908-580-3822",
"fax_number": "908-647-2953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINES DEGELMAN",
"first_name": "HEATHER",
"credential": "RN APNC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2015-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NN08813500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Basking Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.