Extraordinary Minds
NPI 1538856398 · Psychiatric/Mental Health Nurse Practitioner · Evesham, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Extraordinary Minds is a Psychiatric/Mental Health Nurse Practitioner organization in Evesham, NJ (NPI 1538856398).
Provider details
- NPI number
- 1538856398
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Karen Wallace, Credentialing(470) 446-5360
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-04-21
- Last updated
- 2023-04-21
- Certified
- 2023-04-14
Frequently asked questions
- What is Extraordinary Minds's NPI number?
- Extraordinary Minds's National Provider Identifier (NPI) is 1538856398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Extraordinary Minds?
- Extraordinary Minds is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Extraordinary Minds located?
- Extraordinary Minds's practice location on file with NPPES is 532 Old Marlton Pike W, Evesham, NJ 08053.
- What is Extraordinary Minds's phone number?
- The practice phone number listed in the NPPES registry for Extraordinary Minds is (856) 242-2121.
- Does Extraordinary Minds accept Medicare?
- Extraordinary Minds is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Extraordinary Minds?
- The authorized official listed on Extraordinary Minds's NPPES record is Karen Wallace, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Extraordinary Minds's NPI active?
- Yes — Extraordinary Minds's NPI (1538856398) is active in the NPPES registry as of the last update on 2023-04-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.