Individual provider Active NPI

Angela Lynn Macey, FNP-C

  • Family Nurse Practitioner
  • Delmar, DE
National Provider Identifier
1073362497
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012772 Issued in DE
Practice address
30590 S Countryside Dr
Delmar, DE 19940-3481
Phone
(443) 786-8691
NPI assigned
May 16, 2024
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0012772 DE Primary

Addresses

Primary practice location

30590 S Countryside Dr
Delmar, DE 19940-3481

Mailing address

30590 S Countryside Dr
Delmar, DE 19940-3481
Phone (443) 786-8691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241226001205 MD Practitioner - Nurse Practitioner 3072040401 Reassigns benefits to 1 organization
I20250114002436 DE Practitioner - Nurse Practitioner 3072040401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians
Ydiprmc, LLCGroup PAC ID 3173897402, 29 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

1135 S Salisbury Blvd
Salisbury, MD 21801-6861
Phone (410) 334-6351

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ydiprmc LLC CurrentSince Oct 12, 2024 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Jan 13, 2025 Accepting new patients

Locations

30549 Sussex Hwy
Laurel, DE 19956
Phone (302) 715-5214

100 Rawlins Dr
Seaford, DE 19973
Phone (302) 629-4240

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

1511 Ocean Hwy
Pocomoke City, MD 21851
Phone (410) 334-6351

1135 S Salisbury Blvd
Salisbury, MD 21801
Phone (410) 334-6351

327 Tilghman Rd
Ste 200
Salisbury, MD 21804
Phone (410) 334-6351

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1073362497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30590 S COUNTRYSIDE DR",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199403481",
            "telephone_number": "443-786-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30590 S COUNTRYSIDE DR",
            "city": "DELMAR",
            "state": "DE",
            "postal_code": "199403481",
            "telephone_number": "443-786-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEY",
        "first_name": "ANGELA",
        "middle_name": "LYNN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, DE

Sources for this page

Verify at the official NPI Registry.