NURSE PRACTITIONER PROFESSIONAL RESOURCES
NPI 1558516260
Nurse Practitioner - Adult Health in Blackwood, NJ
About Nurse Practitioner Professional Resources NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NURSE PRACTITIONER PROFESSIONAL RESOURCES (NPI 1558516260) is a healthcare organization registered as an adult health in Blackwood, New Jersey and active in the NPI registry since November 2008. The organization lists Meshell Glasgow Mansor, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nurse Practitioner Professional Resources is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
23Medicare enrollment records show 23 clinicians reassign Medicare billing to Nurse Practitioner Professional Resources, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 12 within 10 miles. Listed here are the 20 practicing nearest to this location.
Nearest to this location (20)
See all 23Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nurse Practitioner Professional Resources's NPI number?
The NPI number for Nurse Practitioner Professional Resources is 1558516260. It was assigned to this organization in the NPPES registry on November 21, 2008.
Where is Nurse Practitioner Professional Resources located?
Nurse Practitioner Professional Resources is located at 4361 Route 42, Blackwood, NJ 08012. The listed phone number is (856) 885-4579.
What is Nurse Practitioner Professional Resources's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Nurse Practitioner Professional Resources enrolled in Medicare?
Yes. Nurse Practitioner Professional Resources is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nurse Practitioner Professional Resources?
According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Nurse Practitioner Professional Resources. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 5 practice at this address and 12 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Nurse Practitioner Professional Resources accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Nurse Practitioner Professional Resources as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nurse Practitioner Professional Resources was last updated on October 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nurse Practitioner Professional Resources · NPI 1558516260
Adult Health organization in Blackwood, New Jersey. Organization record, active in the CMS NPPES registry since November 21, 2008.
## Identity
- **NPI:** 1558516260 (Entity type: Organization)
- **Enumerated:** November 21, 2008
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Meshell Mansor, OWNER
## Practice location
- **Address:** 4361 ROUTE 42, Blackwood, NJ 08012-1794
- **Phone:** (856) 885-4579 · **Fax:** (856) 728-3513
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 23 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 5 practice at this address and 12 within 10 miles; [full list](https://npiprofile.com/npi/1558516260/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1558516260) · Data from the CMS NPPES public registry.