Individual provider Active NPI

Yvette Johnine Dancel, FNP

  • Family Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1780309252
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NR11222900 Issued in NJ
Practice address
3742 Hance Bridge Rd
Vineland, NJ 08361-6857
Phone
(856) 332-9403
NPI assigned
Oct 7, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X F09220042 NJ
Family Nurse Practitioner 363LF0000X 26NR11222900 NJ Primary

Addresses

Primary practice location

3742 Hance Bridge Rd
Vineland, NJ 08361-6857

Mailing address

3742 Hance Bridge Rd
Vineland, NJ 08361-6857
Phone (856) 332-9403

Other identifiers 4

IdentifierTypeStateIssuer
F09220042OtherNJHORIZON BLUE CROSS/BLUE SHIELD
F09220042OtherNJAETNA
F09220042MedicaidNJ
F09220042OtherNJPRIVATE INSURANCE

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
I20230314000329 NJ Practitioner - Nurse Practitioner 7214301381 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR11222900NJMDFamily Nurse Practitioner
F09220042NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Omega Physicians LLC Single Specialty CurrentSince Oct 4, 2024 Accepting new patients
Community Health Care, Inc. Single Specialty CurrentSince Feb 20, 2023 Accepting new patients
Hance Bridge Health Family CurrentSince Jun 17, 2026 Accepting new patients
Community Health Care, Inc. CurrentSince Feb 20, 2023 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

14 N Pearl St
Bridgeton, NJ 08302
Phone (856) 340-9830

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

103 Old Marlton Pike
Ste 124
Medford, NJ 08055
Phone (856) 387-0500

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

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

Organizations & group practices 5

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": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1780309252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3742 HANCE BRIDGE RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616857",
            "telephone_number": "856-332-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3742 HANCE BRIDGE RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083616857",
            "telephone_number": "856-332-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANCEL",
        "first_name": "YVETTE",
        "middle_name": "JOHNINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "F09220042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR11222900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON BLUE CROSS/BLUE SHIELD",
            "identifier": "F09220042",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "F09220042",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F09220042",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "F09220042",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.