Individual provider Active NPI

Jeffrey Allen Stevens Jr.

  • Psychiatric/Mental Health Nurse Practitioner
  • Frankford, DE
National Provider Identifier
1083309934
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010676 Issued in DE
Practice address
32171 Gum Rd
Frankford, DE 19945-4025
Phone
(302) 519-6824
NPI assigned
Apr 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010676 DE Primary

Addresses

Primary practice location

32171 Gum Rd
Frankford, DE 19945-4025

Mailing address

32171 Gum Rd
Frankford, DE 19945-4025
Phone (302) 519-6824

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
I20240827000011 DE Practitioner - Nurse Practitioner 3779022488 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
Telehealth
Offers telehealth services
Group practices
Aspira HealthGroup PAC ID 4486080389, 17 clinicians

Practice addresses (Care Compare)

18068 Coastal Hwy
Lewes, DE 19958-4901
Phone (302) 567-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
L8-0010676DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspira Health CurrentSince Aug 15, 2024 Accepting new patients
Atracare Mental Health Past Accepting new patients

Locations

18068 Coastal Hwy
Lewes, DE 19958
Phone (302) 567-1500

1532 Savannah Rd
#A
Lewes, DE 19958
Phone (302) 268-8720

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22424/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jeffrey.stevens.1@22424.direct.athenahealth.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.

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": "1727654400000",
    "number": "1083309934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32171 GUM RD",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199454025",
            "telephone_number": "302-519-6824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32171 GUM RD",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199454025",
            "telephone_number": "302-519-6824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-06",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankford, DE

Sources for this page

Verify at the official NPI Registry.