Active NPI
Wyndham Pursley, CRNP
- Women's Health Nurse Practitioner
- Moorestown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ00318200
- Practice address
- 401 Young Ave Ste 146D
Moorestown, NJ 08057-3130 - Phone
- (888) 982-3726
- NPI assigned
- Jul 15, 2005
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN345567L | PA | |
| Nurse Practitioner | 363L00000X | LG0000208 | DE | |
| Family Nurse Practitioner | 363LF0000X | ARNP9297250 | FL | |
| Family Nurse Practitioner | 363LF0000X | UP004711B | PA | |
| Family Nurse Practitioner | 363LF0000X | 26NJ00318200 | NJ | |
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ00318200 | NJ | Primary |
Addresses
Primary practice location
401 Young Ave Ste 146D
Moorestown, NJ 08057-3130
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Other practice location 1
106 Carnie Blvd
Voorhees, NJ 08043-4515
Phone (888) 982-3726
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001194842 | Medicaid | DE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wpursley12794@directvirtua.org | ||
| Direct Messaging Address | wpursley12794@directvirtua.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
- Virtua Mount Holly Hospital
- West Jersey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN345567L | PA | MD | Registered Nurse |
| LG0000208 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Nurse Practitioner | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
401 Young Ave
Ste 146D
Moorestown, NJ 08057
Phone (888) 982-3726
401 Young Ave
Ste 380A
Moorestown, NJ 08057
Phone (856) 291-8650
7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500
106 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-4270
2301 E Evesham Rd
Ste 110B
Voorhees, NJ 08043
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736380800000",
"number": "1790784429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 YOUNG AVE STE 146D",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573130",
"telephone_number": "888-982-3726"
}
],
"practiceLocations": [
{
"address_1": "106 Carnie Blvd",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080434515",
"country_code": "US",
"telephone_number": "888-982-3726",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PURSLEY",
"first_name": "WYNDHAM",
"name_prefix": "Ms.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-15",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN345567L",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG0000208",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9297250",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "UP004711B",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00318200",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ00318200",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001194842",
"state": "DE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wpursley12794@directvirtua.org",
"affiliation": "N",
"address_1": "106 Carnie Blvd",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080434515",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wpursley12794@directvirtua.org",
"affiliation": "N",
"address_1": "401 Young Ave Ste 146D",
"city": "Moorestown",
"state": "NJ",
"country_code": "US",
"postal_code": "080573130",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.