MR. WILLIAM BEDSOLE (N.P.) – Nurse Practitioner, NPI 1386715274

MR. WILLIAM BEDSOLE (N.P.) is a healthcare provider. based in Pomona, New Jersey. specializing in Nurse Practitioner. They hold the professional credentials N.P.. They hold a License No. NC07397000 (NJ). The NPI Number for MR. WILLIAM BEDSOLE (N.P.) is 1386715274

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM BEDSOLE (N.P.)
NPI
1386715274
Phone
(609) 652-7000
Address
61 W. JIMMIE LEEDS ROAD
Enumeration Date
13 November 2006
Last Update Date
3 November 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6096520555
Graduation Year
1999 (27 years ago)
PAC ID
3375572225
Group Practice PAC ID
0244247054
Professional Enrollment ID
I20151203001390
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. WILLIAM BEDSOLE (N.P.)

  • Jimmie Leeds Road, Pomona, Galloway Township, Atlantic County, New Jersey, 08215, United States

    POMONA, NJ 082400723

    Phone: (609) 652-7000

    Fax: (609) 748-7755

    Mailing address matches the actual address.

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: 2015-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20151203001390INurse PractitionerNJTBD

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 08240)

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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: 0244247054View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Internal MedicineNJ
Internal MedicineNJ

Reviews

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Frequently asked questions

Can I use this page to confirm MR. WILLIAM BEDSOLE (N.P.)'s NPI?
Yes. MR. WILLIAM BEDSOLE (N.P.) is listed with NPI 1386715274 in the public NPI dataset.
Can I rely on MR. WILLIAM BEDSOLE (N.P.) being an active provider?
As of the registry snapshot, MR. WILLIAM BEDSOLE (N.P.) is marked active.
What healthcare role does MR. WILLIAM BEDSOLE (N.P.) hold?
Scheduling teams often label MR. WILLIAM BEDSOLE (N.P.) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MR. WILLIAM BEDSOLE (N.P.) based?
MR. WILLIAM BEDSOLE (N.P.) is tied to Pomona, New Jersey in the data we show; additional addresses may exist on the full record.
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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