LYNNSEY NICOLE NULL (NP) – Women's Health Nurse Practitioner, NPI 1073114500

LYNNSEY NICOLE NULL (NP) is a healthcare provider. based in Moorestown, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. SP022616 (PA). The NPI Number for LYNNSEY NICOLE NULL (NP) is 1073114500

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
LYNNSEY NICOLE NULL (NP)
NPI
1073114500
Phone
(856) 291-8865
Address
401 YOUNG AVE STE 325
Enumeration Date
2 November 2020
Last Update Date
1 February 2021

Doctor Profile

Medical School Name
DREXEL UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
2159558874
Graduation Year
2020 (6 years ago)
PAC ID
5991110751
Group Practice PAC ID
7911819180
Professional Enrollment ID
I20240502003970
Address ID
PA191074216PH925XXSTXX319

Contacts

Secure Messaging
lnull185290@directvirtua.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Other namesUpdated within 12 months

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for LYNNSEY NICOLE NULL (NP)

  • 401 YOUNG AVE STE 325

    MOORESTOWN, NJ 080574800

    Phone: (856) 291-8865

    Fax: (856) 291-8880

    Type: Location

  • 112 MICHAELS LN

    WALLINGFORD, PA 190866630

    Phone: (610) 999-0838

    Type: Mailing

  • 301 LIPPINCOTT DRIVE SUITE 410

    MARLTON, NJ 08053

    Phone: (856) 355-0340

    Fax: (856) 355-0330

    Type: Mailing

  • 1805 Route 206 Units 11, 12, & 13

    Southampton, NJ 080884800

    Phone: (609) 261-0240

    Fax: (856) 291-8880

    Type: Location

  • 3242 Route 206 Building A, Suite 1

    Mansfield, NJ 085054800

    Phone: (609) 444-5505

    Fax: (609) 444-5506

    Type: Location

  • 101 Burrs Road Suites A&B

    Westampton, NJ 080604800

    Phone: (609) 261-0240

    Fax: (856) 291-8880

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210209002199INurse PractitionerNJTBD
I20240502003970INurse PractitionerPATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 08057)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911819180View full group profile
NameSpecialtyState
-PA
-PA
N E U R O L O G YPA
-PA
N E U R O L O G YPA
Emergency MedicinePA
Clinical PsychologistPA
O B S T E T R I C S/ G Y N E C O L O G YPA
-PA
Nuclear MedicinePA

Reviews

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Frequently asked questions

How is LYNNSEY NICOLE NULL (NP) identified in CMS data?
CMS-hosted NPPES data lists LYNNSEY NICOLE NULL (NP) with NPI 1073114500.
Can I rely on LYNNSEY NICOLE NULL (NP) being an active provider?
As of the registry snapshot, LYNNSEY NICOLE NULL (NP) is marked active.
What healthcare role does LYNNSEY NICOLE NULL (NP) hold?
Scheduling teams often label LYNNSEY NICOLE NULL (NP) under Women's Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does LYNNSEY NICOLE NULL (NP) list a practice location?
Patients near Moorestown, New Jersey may find LYNNSEY NICOLE NULL (NP) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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