Individual provider Active NPI

Nicole Jean Stoessel, DC

  • Chiropractor
  • Wilmington, DE
National Provider Identifier
1013916303
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0000508 Issued in DE
Practice address
2207 Concord Pike # 207
Wilmington, DE 19803-2908
Phone
(302) 256-8622
Fax
(302) 340-7444
NPI assigned
Jul 19, 2005
Last updated
Apr 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000508 DE Primary

Addresses

Primary practice location

2207 Concord Pike # 207
Wilmington, DE 19803-2908

Mailing address

2600 Glasgow Ave Ste 124
Newark, DE 19702-4777
Phone (302) 256-8622

Other identifiers 2

IdentifierTypeStateIssuer
51-0256713OtherDEBLUE CROSS
3713761OtherCTAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050308000816 DE Practitioner - Chiropractic 2860446374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chirostaff LLCGroup PAC ID 6709153992, 2 clinicians

Practice addresses (Care Compare)

1708 Lovering Ave
Suite 102
Wilmington, DE 19806-2141
Phone (302) 332-3312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Physicians, P.a. Chiropractor Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28224/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1013916303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GLASGOW AVE STE 124",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197024777",
            "telephone_number": "302-256-8622",
            "fax_number": "302-340-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 CONCORD PIKE # 207",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032908",
            "telephone_number": "302-256-8622",
            "fax_number": "302-340-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOESSEL",
        "first_name": "NICOLE",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51-0256713",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3713761",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.