Individual provider Active NPI

Barbara V. Wilson, NP

  • Nurse Practitioner
  • Newark, DE
National Provider Identifier
1053371120
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LB-0000161 Issued in DE
Practice address
4755 Ogletown Stanton Rd
Suite 1-E-20
Newark, DE 19718-2200
Phone
(302) 234-5800
Fax
(302) 234-2380
NPI assigned
Mar 24, 2006
Last updated
Nov 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LB-0000161 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Suite 1-E-20
Newark, DE 19718-2200

Mailing address

4755 Ogletown Stanton Rd
Suite 1E-20
Newark, DE 19718-2200
Phone (302) 733-5625

Other identifiers 1

IdentifierTypeStateIssuer
1000015398MedicaidDE

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
I20060717000150 DE Practitioner - Nurse Practitioner 7214940246 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endovascular Consultants LLCGroup PAC ID 2769751791, 3 clinicians

Practice addresses (Care Compare)

701 N Clayton St
MSB Suite 601
Wilmington, DE 19805-3165
Phone (302) 760-9002

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Endovascular Consultants, LLC CurrentSince Dec 25, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2013 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 1, 2013 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 9, 2013 Accepting new patients
X-Ray Associates P.a. Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4755 Ogletown Stanton Rd
Ste 1E20
Newark, DE 19718
Phone (302) 733-5625

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

701 N Clayton St
#601
Wilmington, DE 19805
Phone (302) 575-8368

3001 Palm Harbor Blvd
Ste A
Palm Harbor, FL 34683

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478563200000",
    "number": "1053371120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "SUITE 1E-20",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-5625",
            "fax_number": "302-733-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "SUITE 1-E-20",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-234-5800",
            "fax_number": "302-234-2380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "BARBARA",
        "middle_name": "V.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LB-0000161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000015398",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.