Active NPI
Alexandra Mae McDermott
- Family Nurse Practitioner
- Millsboro, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0011885
- Practice address
- 30265 Commerce Dr Unit 206
Millsboro, DE 19966-3595 - Phone
- (302) 732-8400
- NPI assigned
- Oct 7, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0011885 | DE | Primary |
Addresses
Primary practice location
30265 Commerce Dr Unit 206
Millsboro, DE 19966-3595
Mailing address
100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400
Other practice location 1
420 E North Pointe Dr Apt 455
Salisbury, MD 21804-2354
Phone (717) 497-0089
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
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30265 Commerce Dr
Unit 206
Millsboro, DE 19966-3595
Phone (302) 732-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0011885 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tidalhealth Primary Care, LLC | Current | Accepting new patients |
Locations
30668 Sussex Hwy
Laurel, DE 19956
Phone (302) 251-8870
30265 Commerce Dr
Unit 103
Millsboro, DE 19966
Phone (302) 297-2598
30265 Commerce Dr
Millsboro, DE 19966
Phone (302) 629-5050
30265 Commerce Dr
Unit 206
Millsboro, DE 19966
Phone (302) 732-8400
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Georgetown, DE
- NPI 1417021700
-
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
-
- General Acute Care Hospital
- Lewes, DE
- NPI 1821196486
-
- General Acute Care Hospital
- Seaford, DE
- NPI 1245214477
-
- General Acute Care Hospital
- Berlin, MD
- NPI 1053309120
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1023770963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CARROLL ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015422",
"telephone_number": "410-546-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30265 COMMERCE DR UNIT 206",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199663595",
"telephone_number": "302-732-8400"
}
],
"practiceLocations": [
{
"address_1": "420 E North Pointe Dr Apt 455",
"address_purpose": "LOCATION",
"city": "Salisbury",
"state": "MD",
"postal_code": "218042354",
"country_code": "US",
"telephone_number": "717-497-0089",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDERMOTT",
"first_name": "ALEXANDRA",
"middle_name": "MAE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-07",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0011885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.