Individual provider Active NPI

Rochelle Prevard, FNP-C

  • Family Nurse Practitioner
  • Sicklerville, NJ
National Provider Identifier
1982212650
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ01036200 Issued in NJ
Practice address
43 Tailor LN
Sicklerville, NJ 08081-5697
Phone
(856) 524-0754
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ01036200 NJ Primary

Addresses

Primary practice location

43 Tailor LN
Sicklerville, NJ 08081-5697

Mailing address

43 Tailor LN
Sicklerville, NJ 08081-5697
Phone (856) 524-0754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200925000123 NJ Practitioner - Nurse Practitioner 6709205768 Reassigns benefits to 2 organizations
I20260429000911 NY Practitioner - Nurse Practitioner 6709205768 Reassigns benefits to 1 organization
I20260626002008 OH Practitioner - Nurse Practitioner 6709205768 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Workit Health NJ LLCGroup PAC ID 8325477904, 8 clinicians

Practice addresses (Care Compare)

525 Route 73 N
Suite 117
Marlton, NJ 08053-3422
Phone (609) 474-0106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Workit Health NJ LLC CurrentSince Sep 2, 2021 Accepting new patients

Locations

5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106

Interoperability endpoints

  • Direct secure messaging: rochelle.prevard@597174495543300.direct.elationemr.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1982212650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 TAILOR LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815697",
            "telephone_number": "856-524-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 TAILOR LN",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815697",
            "telephone_number": "856-524-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREVARD",
        "first_name": "ROCHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01036200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.