Caren Michelle Coffy-McCormick, APRN
Individual provider Active NPI Adult Psychiatric/Mental Health Clinical Nurse Specialist · Middletown, DE
NPI 1043461627 · NPPES record last updated Oct 15, 2012
Key facts
- NPI
- 1043461627
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X
- License
- LE-0000176 (DE)
- Practice address
- 292 Carter Dr
Suite B
Middletown, DE 19709-5846 - Phone
- (302) 449-0710
- Fax
- (302) 449-1770
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- McCormick and Associates of Middletown, LLC
Practice addresses (Care Compare)
5350 Summit Bridge Rd
Middletown, DE 19709-4802
Phone (302) 449-0710
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100326000976 | DE | Practitioner - Nurse Practitioner | 0446386676 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LE-0000176 | DE | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | LE-0000176 | DE | Yes |
Addresses
Primary practice location
292 Carter Dr
Suite B
Middletown, DE 19709-5846
Mailing address
292 Carter Dr
Suite B
Middletown, DE 19709-5846
Phone (302) 449-0710
Other providers in Middletown, DE
- Circle of Hope Services LLC
- Diamond Nicole Clark
- Michael Ryan Cleary
- Clinical Cardiology Specialists, LLC
- Elizabeth Bessie Cluff
- Bernard Martin Cohen
- Jakeema Collins
- Cilenna Colon
- Connections Community Support Programs Inc.
- Michael Joseph Connor
All providers in Middletown, DE · Adult Psychiatric/Mental Health Clinical Nurse Specialist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.