Individual provider Active NPI

Tessandra Gulbranson

  • Family Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1891166849
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00595700 Issued in NJ
Practice address
499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504
Phone
(856) 663-7080
NPI assigned
Oct 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00595700 NJ Primary

Addresses

Primary practice location

499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504

Mailing address

2042 Stanger Ave
Williamstown, NJ 08094-3320
Phone (856) 994-4263

Other practice location 1

600 S Odessa Ave
Egg Harbor City, NJ 08215-3524
Phone (856) 288-4500

Other practice location 2

199 6th Ave Ste B2
Mount Laurel, NJ 08054-9745
Phone (856) 288-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151104001852 NJ Practitioner - Nurse Practitioner 3274843149 Reassigns benefits to 2 organizations
I20250904002791 MI Practitioner - Nurse Practitioner 3274843149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Square One Health Services LLCGroup PAC ID 9638574106, 2 clinicians
Regional Orthopedic Professional AssociationGroup PAC ID 1456325372, 14 clinicians

Practice addresses (Care Compare)

199 6TH Ave
Suite B2
Mount Laurel, NJ 08054-9745
Phone (732) 838-3400

499 Cooper Landing Rd
Cherry Hill, NJ 08002-2504
Phone (856) 663-7080

Merit-based Incentive Payment System (MIPS)

Final score
73.54 of 100Reported as group
Quality
50.73
Promoting interoperability
96
Improvement activities
40
Cost
64.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Orthopedic Professional Association CurrentSince Dec 1, 2018 Accepting new patients
Kalamazoo TC Operator LLC CurrentSince Jun 9, 2025 Accepting new patients
Sunrise Detox Cherry Hill LLC CurrentSince Feb 28, 2024 Accepting new patients
Enlightened Solutions LLC Past Accepting new patients

Locations

1430 Alamo Ave
Kalamazoo, MI 49006
Phone (269) 349-2661

1417 Brace Rd
#C
Cherry Hill, NJ 08034
Phone (856) 333-3783

499 Cooper Landing Rd
Cherry Hill, NJ 08002
Phone (856) 482-8747

572 S Odessa Ave
Egg Harbor City, NJ 08215

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": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1891166849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 STANGER AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943320",
            "telephone_number": "856-994-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 COOPER LANDING RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022504",
            "telephone_number": "856-663-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 S Odessa Ave",
            "address_purpose": "LOCATION",
            "city": "Egg Harbor City",
            "state": "NJ",
            "postal_code": "082153524",
            "country_code": "US",
            "telephone_number": "856-288-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "199 6th Ave Ste B2",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080549745",
            "country_code": "US",
            "telephone_number": "856-288-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULBRANSON",
        "first_name": "TESSANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-16",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00595700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.