Individual provider Active NPI

Michelle L Leite, FNP-BC

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1033100748
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG0000289 Issued in DE
Practice address
200 Banning St Ste 270
Dover, DE 19904-3489
Phone
(302) 674-1999
NPI assigned
Nov 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010571 DE
Family Nurse Practitioner 363LF0000X LG0000289 DE Primary
Nurse Practitioner 363L00000X LG-0000289 DE

Addresses

Primary practice location

200 Banning St Ste 270
Dover, DE 19904-3489

Mailing address

200 Banning St Ste 270
Dover, DE 19904-3489
Phone (302) 401-1005

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110623000273 DE Practitioner - Nurse Practitioner 0941488811 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 270
Dover, DE 19904-3489
Phone (302) 401-1005

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7156

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000289DEMDNurse Practitioner
LG0000289DEMDFamily Nurse Practitioner
L8-0010571DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Mental Healthcare LLC Nurse Practitioner CurrentSince Sep 1, 2024 Accepting new patients
Bayhealth Emergency Physicians LLC CurrentSince Feb 28, 2018 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Feb 28, 2018 Accepting new patients
Modern Maturity Center PastSince Jan 15, 2023 Accepting new patients

Locations

200 Banning St
Ste 270
Dover, DE 19904
Phone (302) 401-1005

640 S State St
Dover, DE 19901
Phone (302) 744-4700

541 S Red Haven Ln
Dover, DE 19901
Phone (302) 674-3350

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

21 W Clarke Ave
Milford, DE 19963
Phone (302) 422-3311

401 N Carter Rd
Ste 101
Smyrna, DE 19977
Phone (302) 659-2190

Organizations & group practices 4

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1033100748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 270",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043489",
            "telephone_number": "302-401-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 270",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043489",
            "telephone_number": "302-674-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEITE",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000289",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.