Individual provider Active NPI

Jody A Walter, CRNP

  • Adult Health Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1912306820
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP014103 Issued in PA
Practice address
999 Route 73 N Ste 401
Marlton, NJ 08053-1227
Phone
(800) 321-9999
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00532700 NJ
Adult Health Nurse Practitioner 363LA2200X SP014103 PA Primary

Addresses

Primary practice location

999 Route 73 N Ste 401
Marlton, NJ 08053-1227

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430
Phone (484) 214-6604

Other practice location 1

3300 Tillman Dr Fl 2
Bensalem, PA 19020-2071
Phone (800) 321-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 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
I20141006001746 PA Practitioner - Nurse Practitioner 1456571983 Reassigns benefits to 1 organization
I20230725001293 NJ Practitioner - Nurse Practitioner 1456571983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3300 Tillman Dr
FL 2
Bensalem, PA 19020-2071
Phone (215) 642-6900

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
79.04
Promoting interoperability
99
Improvement activities
40
Cost
82.85

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00532700NJMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Jun 7, 2023 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince Jun 7, 2023 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Sep 1, 2014 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Sep 1, 2014 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

3300 Tillman Dr
Fl 2
Bensalem, PA 19020
Phone (215) 637-1800

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 520
Philadelphia, PA 19107
Phone (267) 592-6191

Interoperability endpoints

  • Direct secure messaging: jody.walter@rot.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1912306820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 520",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074430",
            "telephone_number": "484-214-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 ROUTE 73 N STE 401",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531227",
            "telephone_number": "800-321-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Tillman Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190202071",
            "country_code": "US",
            "telephone_number": "800-321-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTER",
        "first_name": "JODY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00532700",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP014103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.