Michelle Lynn Juckett, APN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ01013400 Issued in NJ

Practice address

1640 S Black Horse Pike
Williamstown, NJ 08094-9247

Phone

(973) 661-8300

Fax

(973) 661-8333

NPI assigned

Feb 12, 2020

Last updated

Jan 29, 2025By the provider in NPPES

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 names 1

• Michelle Lynn Stevenson Former name

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Redwood Health Partners LLCGroup PAC ID 5092935585, 16 clinicians

Affinity Care of NJ LLCGroup PAC ID 5193135754, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089
• Vitality Hospice and Palliative Care Hospice, Burlington, NJ, CCN 311588
• Hospice at Lsmnj, Inc. Hospice, Egg Harbor Township, NJ, CCN 311581

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Redwood Health Partners, LLC

  • General Practice Physician
  • Denver, CO
  • NPI 1275945107

  NJ

  Medicare reassignment Care Compare group NPD
• Affinity Care of NJ LLC

  • Community Based Hospice Care Agency
  • Brick, NJ
  • NPI 1578178281
  Medicare reassignment Care Compare group

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

• Hospice at Lsmnj, Inc.

  • Community Based Hospice Care Agency
  • Egg Harbor Township, NJ
  • NPI 1275047706
  Care Compare affiliation
• 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
• Vitality Hospice LLC

  dba Vitality Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Burlington, NJ
  • NPI 1669091799
  Care Compare affiliation

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1841822343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MILL ST",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559301",
            "telephone_number": "609-790-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 S BLACK HORSE PIKE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080949247",
            "telephone_number": "973-661-8300",
            "fax_number": "973-661-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUCKETT",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ01013400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "STEVENSON",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Reina Jeanbaptiste
• Jeffrey R Mack DMD PA
• Patricia Jones-Pope, LPC
• Stacey Jones, OT
• Cathleen M Jordan
• Juniper Village at Williamstown LLC (Juniper Village at Williamstown -Wellspring Program)
• Juniper Village at Williamstown, LLC (Juniper Village at Williamstown)
• Rajeswari Kanthan, MD
• Roman Karpiel
• Jeffrey Kehl, PHARMD

• Gerontology Nurse Practitioner in Williamstown, NJ
• Providers in Williamstown, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

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

Verify at the official NPI Registry.