Active NPI
Noe Sepulveda, CRNA
- Certified Registered Nurse Anesthetist
- Elmer, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00207900
- Practice address
- 501 W Front St
Elmer, NJ 08318-2101 - Phone
- (856) 363-1000
- Fax
- (877) 329-2370
- NPI assigned
- Oct 26, 2006
- Last updated
- Aug 22, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00207900 | NJ | Primary |
| Registered Nurse | 163W00000X | 26NR10556800 | NJ | |
| Registered Nurse | 163W00000X | RN354200L | PA |
Addresses
Primary practice location
501 W Front St
Elmer, NJ 08318-2101
Mailing address
PO Box 650782
Dallas, TX 75265-0782
Phone (302) 733-0806
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nsepulveda19751@directvirtua.org | ||
| Direct Messaging Address | nsepulveda19751@directvirtua.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260
3242 Route 206
Bordentown, NJ 08505-4517
90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN354200L | PA | MD | Registered Nurse |
| 26NJ00207900 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Jersey Anesthesia Associate PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Pinnacle Mid-Atlantic Anesthesia Associates PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Voorhees Pain Consultants PA | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040
100 Bowman Dr
Fl 2
Voorhees, NJ 08043
Phone (856) 247-3000
1000 White Horse Rd
Ste 204
Voorhees, NJ 08043
Phone (856) 309-5808
200 Bowman Dr
Ste D160
Voorhees, NJ 08043
Phone (856) 247-3000
Interoperability endpoints
- nsepulveda19751@directvirtua.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Marlton, NJ
- NPI 1609861947
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Anesthesiology Physician
- Marlton, NJ
- NPI 1306831656
-
- Anesthesiology Physician
- Pottsville, PA
- NPI 1073789244
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1972688174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650782",
"city": "DALLAS",
"state": "TX",
"postal_code": "752650782",
"telephone_number": "302-733-0806",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W FRONT ST",
"city": "ELMER",
"state": "NJ",
"postal_code": "083182101",
"telephone_number": "856-363-1000",
"fax_number": "877-329-2370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEPULVEDA",
"first_name": "NOE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00207900",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NJ",
"license": "26NR10556800",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN354200L",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nsepulveda19751@directvirtua.org",
"affiliation": "N",
"address_1": "100 Bowman Dr Fl 2",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439612",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nsepulveda19751@directvirtua.org",
"affiliation": "N",
"address_1": "90 Brick Rd",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080532177",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elmer, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.