Active NPI
Tessandra Gulbranson
- Family Nurse Practitioner
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00595700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Orthopedic Professional Association | Current | Accepting new patients | |
| Kalamazoo TC Operator LLC | Current | Accepting new patients | |
| Sunrise Detox Cherry Hill LLC | Current | 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.
-
- Orthopaedic Surgery Physician
- Cherry Hill, NJ
- NPI 1073567095
-
- Adult Health Nurse Practitioner
- Mount Laurel, NJ
- NPI 1588247233
-
dba Enlightened Recovery
- Substance Abuse Rehabilitation Facility
- Kalamazoo, MI
- NPI 1427803089
-
- Mental Illness Community Based Residential Treatment Facility
- Cherry Hill, NJ
- NPI 1295110179
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Egg Harbor City, NJ
- NPI 1548646342
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.