Jacquelyn Roberts, APN-C

Primary specialty

Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X

License

26NC09229000 Issued in NJ

Practice address

539 Egg Harbor Rd
Sewell, NJ 08080-2371

Phone

(856) 589-0300

Fax

(856) 589-1753

NPI assigned

Apr 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senacare LLCGroup PAC ID 6103257571, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacquelyn.roberts.1@28811.direct.athenahealth.com

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.

• Senacare, LLC

  • Internal Medicine Physician
  • Mullica Hill, NJ
  • NPI 1104447127
  Medicare reassignment Care Compare group NPD
• Samaritan Healthcare & Hospice, Inc.

  dba Palliative Medical Partners

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Mount Laurel, NJ
  • NPI 1023323367
  Medicare reassignment NPD
• Innovative Training and Healthcare Solutions

  dba NP Cardiology Consultants

  • Cardiovascular Disease Physician
  • Mount Laurel, NJ
  • NPI 1598580698
  Medicare reassignment
• Careconnectmd New Jersey PC

  • General Practice Physician
  • Roseland, NJ
  • NPI 1417638990
  NPD
• Senacare, LLC

  • Internal Medicine Physician
  • Philadelphia, PA
  • NPI 1023989837
  NPD
• Associated Cardiovascular Consultants

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
  • NPI 1518069996
  NPD (past)
• Kennedy Medical Group Practice, P.C.

  dba Jefferson Health

  • Family Medicine Physician
  • Voorhees, NJ
  • NPI 1952726796
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Tri-County Home and Hospice Care,LLC

  dba BAYADA at Inspira, Home Health and Hospice

  • Home Health Agency
  • West Deptford, NJ
  • NPI 1629431481
  Care Compare affiliation
• Tri-County Home and Hospice Care,LLC

  dba BAYADA at Inspira, Home Health and Hospice

  • Home Health Agency
  • Millville, NJ
  • NPI 1710340575
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1801858634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802371",
            "telephone_number": "856-589-0300",
            "fax_number": "856-589-1753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 EGG HARBOR RD",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802371",
            "telephone_number": "856-589-0300",
            "fax_number": "856-589-1753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "JACQUELYN",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NJ",
            "license": "26NC09229000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0037567",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New Jersey Inc (Rite Aid Pharmacy 01860)
• Rittenhouse Oncology Specialists PC
• Robert a. Sammartino, D.O., P.a.
• Robert J Warkala DPM
• Robert Venuti Consulting, LLC
• Julia Roberts, WHNP
• Yolanda R Robinson
• Rocky Mountain Holdings, LLC (JeffSTAT)
• Natalie June Rodriguez, PMHNP
• Patricia Mariela Rodriguez

• Critical Care Medicine Nurse Practitioner in Sewell, NJ
• Providers in Sewell, NJ by specialty
• Critical Care Medicine Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.

Verify at the official NPI Registry.