Individual provider Active NPI

Racel Lamorin Fernandez, APN

  • Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1902255995
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00626000 Issued in NJ
Practice address
108 Kristine Ave
Manahawkin, NJ 08050-7810
Phone
(609) 290-9459
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00626000 NJ Primary

Addresses

Primary practice location

108 Kristine Ave
Manahawkin, NJ 08050-7810

Mailing address

108 Kristine Ave
Manahawkin, NJ 08050-7810
Phone (609) 290-9459

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160919000298 NJ Practitioner - Nurse Practitioner 0941597009 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
Group practices
Pulse Vascular LLC 34 clinicians

Practice addresses (Care Compare)

994 W Sherman Ave
BLDG 2
Vineland, NJ 08360-6937
Phone (631) 534-7846

Hospital & facility affiliations

  • Inspira Medical Center Vineland Hospital, Vineland, NJ, CCN 310032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulse Vascular, LLC CurrentSince Jun 1, 2020 Accepting new patients

Locations

206 Bergen Ave
Ste 207
Kearny, NJ 07032
Phone (631) 534-7246

994 W Sherman Ave
Bldg 2
Vineland, NJ 08360
Phone (631) 534-7246

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1902255995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 KRISTINE AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080507810",
            "telephone_number": "609-290-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KRISTINE AVE",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080507810",
            "telephone_number": "609-290-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "RACEL",
        "middle_name": "LAMORIN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00626000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.