Individual provider Active NPI

Rachel Ann Pessoa, APN

  • Adult Health Nurse Practitioner
  • Linwood, NJ
National Provider Identifier
1962889915
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00565100 Issued in NJ
Practice address
222 New Rd Ste 304
Linwood, NJ 08221-1282
Phone
(609) 927-9790
Fax
(609) 926-8796
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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 26NJ00565100 NJ Primary
Adult Health Nurse Practitioner 363LA2200X SP014700 PA

Addresses

Primary practice location

222 New Rd Ste 304
Linwood, NJ 08221-1282

Mailing address

222 New Rd Ste 304
Linwood, NJ 08221-1282
Phone (609) 927-9790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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
I20150604000567 NJ Practitioner - Nurse Practitioner 6103147038 Reassigns benefits to 5 organizations
I20180129001203 PA Practitioner - Nurse Practitioner 6103147038 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP014700PAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group, PA CurrentSince Sep 5, 2025 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Ronald C. Gove, MD, PA CurrentSince Jan 3, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Dec 5, 2017 Accepting new patients
Regenerative Medicine of South Jersey LLC CurrentSince Mar 28, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Aug 1, 2016 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Aug 1, 2016 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Aug 1, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince Dec 5, 2017 Accepting new patients

Locations

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

222 New Rd
Ste 304
Linwood, NJ 08221
Phone (609) 927-9790

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

601 Route 73 N
Ste 104
Marlton, NJ 08053
Phone (609) 886-8585

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576

1006 Mantua Pike
Spc Care
Woodbury, NJ 08097
Phone (856) 845-8600

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

235 S 8th St
Philadelphia, PA 19106
Phone (215) 543-2770

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Interoperability endpoints

  • Direct secure messaging: rpessoa259776@directvirtua.org

Organizations & group practices 10

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1962889915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 304",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211282",
            "telephone_number": "609-927-9790",
            "fax_number": "609-926-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 NEW RD STE 304",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082211282",
            "telephone_number": "609-927-9790",
            "fax_number": "609-926-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSOA",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00565100",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP014700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.