Active NPI
Barry Nixon, MSN, CRNP
- Gerontology Nurse Practitioner
- Ambler, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- TP005299H
- Practice address
- 321 Norristown Rd
Suite 100
Ambler, PA 19002-2755 - Phone
- (267) 965-7962
- NPI assigned
- Jan 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | TP005299H | PA | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 26NN09486400 | NJ |
Addresses
Primary practice location
321 Norristown Rd
Suite 100
Ambler, PA 19002-2755
Mailing address
119 Willow Oaks LN
Mullica Hill, NJ 08062-4535
Phone (856) 223-1901
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone (856) 507-2783
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TP005299H | PA | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Health Connections PC | Current | Accepting new patients | |
| HCR Manorcare Medical Services of Florida LLC | Current | Accepting new patients | |
| Tri-County Health Connections PC | Past | Accepting new patients |
Locations
1412 Marlton Pike E
Cherry Hill, NJ 08034
Phone (856) 428-1600
1120 Delsea Dr N
Fl 2
Glassboro, NJ 08028
Phone (856) 595-9136
1120 Delsea Dr N
Fl Second
Glassboro, NJ 08028
1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071
L2540
Columbus, OH 43260
333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1124660501
-
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
-
- Neurology Physician
- Woodbury, NJ
- NPI 1417220310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811044910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 WILLOW OAKS LN",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080624535",
"telephone_number": "856-223-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 NORRISTOWN RD",
"address_2": "SUITE 100",
"city": "AMBLER",
"state": "PA",
"postal_code": "190022755",
"telephone_number": "267-965-7962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "BARRY",
"credential": "MSN, CRNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "PA",
"license": "TP005299H",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NJ",
"license": "26NN09486400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ambler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.