Natalie Carisa Eisenhower, APN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

26NJ00433300 Issued in NJ

Practice address

106 Centre Blvd Ste G
Marlton, NJ 08053-4131

Phone

(856) 797-2810

Fax

(856) 797-2811

NPI assigned

Apr 23, 2013

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

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, 2013

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

New Age Behavioral PCGroup PAC ID 4688895717, 4 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• New Age Behavioral PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marlton, NJ
  • NPI 1689089344
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416614400000",
    "number": "1942644786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CENTRE BLVD STE G",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534131",
            "telephone_number": "856-797-2810",
            "fax_number": "856-797-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CENTRE BLVD STE G",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534131",
            "telephone_number": "856-797-2810",
            "fax_number": "856-797-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENHOWER",
        "first_name": "NATALIE",
        "middle_name": "CARISA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2014-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00433300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eating Disorders Treatment Center
• Ebi Healthcare Services LLC
• Andrew Ecker
• David R Edenbaum, DMD
• Samantha Eib
• Sara J. Eisenhuth, OTR, LCSW
• Jodi L Eisner, OTR/L
• Sandra D Elder, M.D.
• Elite Spine and Sport Center LLC
• Omar Elkattawy, MD

• Psychiatric/Mental Health Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; 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.