Active NPI
Kathaleen Vinasco, PA-C
- Physician Assistant
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0012428
- Practice address
- 1 Centurian Dr Ste 110
Newark, DE 19713-2154 - Phone
- (302) 355-0900
- Fax
- (302) 355-0901
- NPI assigned
- Sep 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C5-0012428 | DE | Primary |
Addresses
Primary practice location
1 Centurian Dr Ste 110
Newark, DE 19713-2154
Mailing address
1020 Walnut St
Philadelphia, PA 19107-5567
Phone (484) 487-1197
Other practice location 1
1020 Walnut St
Philadelphia, PA 19107-5567
Phone (215) 503-6994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1 Centurian Dr
Newark, DE 19713-2127
3578 Edgewater LN
Brookhaven, PA 19015-2607
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5-0012428 | DE | MD | Physician Assistant |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIDABD/Endpoint/EIDABD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine Physician
- Newark, DE
- NPI 1750810305
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1013880285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 WALNUT ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075567",
"telephone_number": "484-487-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CENTURIAN DR STE 110",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132154",
"telephone_number": "302-355-0900",
"fax_number": "302-355-0901"
}
],
"practiceLocations": [
{
"address_1": "1020 Walnut St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191075567",
"country_code": "US",
"telephone_number": "215-503-6994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINASCO",
"first_name": "KATHALEEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-24",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0012428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.