Individual provider Active NPI

Casey Elizabeth Mayer, FNP-BC

  • Family Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1023461308
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012870 Issued in DE
Practice address
16337 Coastal Hwy
Lewes, DE 19958-3607
Phone
(302) 291-9900
Fax
(302) 200-9094
NPI assigned
Jul 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2299265 MA
Registered Nurse 163W00000X 710873 NY
Family Nurse Practitioner 363LF0000X F340932-1 NY
Family Nurse Practitioner 363LF0000X LG-0012870 DE Primary

Addresses

Primary practice location

16337 Coastal Hwy
Lewes, DE 19958-3607

Mailing address

16337 Coastal Hwy
Lewes, DE 19958-3607
Phone (302) 291-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161205001573 NY Practitioner - Nurse Practitioner 8527348796 Reassigns benefits to 1 organization
I20240925000772 DE Practitioner - Nurse Practitioner 8527348796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2299265MAMDRegistered Nurse
710873NYMDRegistered Nurse
LG-0012870DEMDFamily Nurse Practitioner
F340932-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connolly Dermatology Delaware LLC CurrentSince Sep 1, 2024 Accepting new patients
Coastal Care & Dermatology, LLC Past Accepting new patients

Locations

200 Banning St
Ste 380
Dover, DE 19904
Phone (302) 291-9900

16337 Coastal Hwy
Lewes, DE 19958
Phone (302) 291-9900

2099 New Albany Rd
Cinnaminson, NJ 08077
Phone (856) 829-5545

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1023461308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16337 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583607",
            "telephone_number": "302-291-9900",
            "fax_number": "302-200-9094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16337 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199583607",
            "telephone_number": "302-291-9900",
            "fax_number": "302-200-9094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "CASEY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2299265",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "710873",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340932-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.