THERESA SOUTAR (R.N. APN-C) – Adult Health Nurse Practitioner, NPI 1790737963

THERESA SOUTAR (R.N. APN-C) is a healthcare provider. based in Marlton, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials R.N. APN-C. They hold a License No. 26N009304400 (NJ). The NPI Number for THERESA SOUTAR (R.N. APN-C) is 1790737963

Main info

Female
38 Years Of Experience
Accepts Medicare Assignment
Name
THERESA SOUTAR (R.N. APN-C)
NPI
1790737963
Phone
(856) 782-3300
Address
402 LIPPINCOTT DR
Enumeration Date
16 May 2006
Last Update Date
19 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8565072783
Graduation Year
1988 (38 years ago)
PAC ID
5597721100
Group Practice PAC ID
8022271410
Professional Enrollment ID
I20100623000709
Address ID
NJ080281444GL1120XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,508 NURSE PRACTITIONER in NJ

Provider Addresses for THERESA SOUTAR (R.N. APN-C)

  • 402, Lippincott Drive, Marlton, Evesham Township, Burlington County, New Jersey, 08053-4112, United States

    MARLTON, NJ 080534112

    Phone: (856) 782-3300

    Fax: (856) 504-8029

    Type: Mailing

  • 1405 CHEWS LANDING RD

    LAUREL SPRINGS, NJ 080212769

    Phone: (856) 227-6575

    Fax: (856) 374-9495

    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: 2010-06-23

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
I20100623000709INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes1,739264$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes280109$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes150103$0
99316Nursing facility discharge management, more than 30 minutes10092$0
View full utilization report →

Insurance plans in this area (ZIP 08053)

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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: 8022271410View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Internal MedicineNJ
Physician AssistantNJ
Internal MedicineNJ
Nurse PractitionerPA
-NJ
Internal Medicine, Pulmonary DiseaseNJ
Geriatric MedicineNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What is the registry number for THERESA SOUTAR (R.N. APN-C)?
The registry entry for THERESA SOUTAR (R.N. APN-C) shows NPI 1790737963.
Quick check: is THERESA SOUTAR (R.N. APN-C) active?
Public NPPES data shows THERESA SOUTAR (R.N. APN-C) with an active NPI status right now.
What does the directory say THERESA SOUTAR (R.N. APN-C) does?
Insurance directories may phrase it differently, but here THERESA SOUTAR (R.N. APN-C) maps to Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to THERESA SOUTAR (R.N. APN-C)?
THERESA SOUTAR (R.N. APN-C) is associated with Marlton, New Jersey in the same public data insurers reference.
Can I export THERESA SOUTAR (R.N. APN-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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