Individual provider Active NPI

Mimi Joye Hilderley, APRN

  • Family Nurse Practitioner
  • Georgetown, DE
National Provider Identifier
1043905011
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012426 Issued in DE
Practice address
20930 Dupont Blvd Unit 202
Georgetown, DE 19947-1724
Phone
(302) 202-3438
NPI assigned
Apr 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11025830 FL
Family Nurse Practitioner 363LF0000X LG-0012426 DE Primary
Registered Nurse 163W00000X RN9476999 FL

Addresses

Primary practice location

20930 Dupont Blvd Unit 202
Georgetown, DE 19947-1724

Mailing address

2637 Fiddlestick Cir
Lutz, FL 33559-3729
Phone (518) 322-5009

Other practice location 1

2637 Fiddlestick Cir
Lutz, FL 33559-3729
Phone (518) 322-5009

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
I20231106002244 DE Practitioner - Nurse Practitioner 2860849312 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

18941 John J Williams Hwy
Rehoboth Beach, DE 19971-4404
Phone (302) 703-3595

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9476999FLMDRegistered Nurse
LG-0012426DEMDFamily Nurse Practitioner
11025830FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. Family CurrentSince Aug 5, 2024 Accepting new patients

Locations

21635 Biden Ave
Unit 205
Georgetown, DE 19947

20930 DuPont Blvd
Unit 202
Georgetown, DE 19947
Phone (302) 202-3438

18335 Coastal Hwy
Ste 102
Lewes, DE 19958

810 Seabury Ave
Milford, DE 19963
Phone (302) 393-2056

100 Silicato Pkwy
Milford, DE 19963
Phone (302) 291-6200

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

18941 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 644-6992

Interoperability endpoints

  • Direct secure messaging: mhilderley22399@beebehealth.direct-ci.com

Organizations & group practices 2

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": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1043905011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 FIDDLESTICK CIR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335593729",
            "telephone_number": "518-322-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20930 DUPONT BLVD UNIT 202",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199471724",
            "telephone_number": "302-202-3438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2637 Fiddlestick Cir",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335593729",
            "country_code": "US",
            "telephone_number": "518-322-5009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILDERLEY",
        "first_name": "MIMI",
        "middle_name": "JOYE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11025830",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012426",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9476999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.