Individual provider Active NPI

Heather Lines Degelman, RN APNC

  • Nurse Practitioner
  • Basking Ridge, NJ
National Provider Identifier
1770656274
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NN08813500 Issued in NJ
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

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060314000738 NJ Practitioner - Nurse Practitioner 9931116001 Reassigns benefits to 1 organization

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.

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

Verify at the official NPI Registry.