Active NPI
Michelle L Leite, FNP-BC
- Family Nurse Practitioner
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG0000289
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000289 | DE | MD | Nurse Practitioner |
| LG0000289 | DE | MD | Family Nurse Practitioner |
| L8-0010571 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Mental Healthcare LLC | Nurse Practitioner | Current | Accepting new patients |
| Bayhealth Emergency Physicians LLC | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Modern Maturity Center | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Dover, DE
- NPI 1407682594
DE, Nurse Practitioner
-
- Adult Day Care Clinic/Center
- Dover, DE
- NPI 1609923408
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.