Physician Compare National (NPI:1073171328)

HEALTHCARE PROVIDER: MARIA TERRESA PAUCIELLO CRNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1073171328
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193057800
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20200817000887
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PAUCIELLO
	Individual professional last name
Provider First Name	MARIA
	Individual professional first name
Provider Middle Name	TERRESA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2018
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	LOURDES MEDICAL ASSOCIATES PA
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	1557260122
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	123
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	63 KRESSON RD
	Group Practice or individual's line 1 address
Marker of address line 2 suppression	Y
	Marker that address as reported may be incomplete
City	CHERRY HILL
	Group Practice or individual's city
State	NJ
	Group Practice or individual's state
Zip Code	080343200
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y