Active NPI
Ginna Elizabeth Keil, CRNP
- Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LG-0001348
- Practice address
- 16 Polly Drummond SHPG Ctr Ste 2
Newark, DE 19711-4861 - Phone
- (302) 478-5707
- Fax
- (302) 478-1351
- NPI assigned
- Nov 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LG-0001348 | DE | |
| Nurse Practitioner | 363L00000X | LG-0001348 | DE | Primary |
Addresses
Primary practice location
16 Polly Drummond SHPG Ctr Ste 2
Newark, DE 19711-4861
Mailing address
21202 Bayview Rd
Rehoboth Beach, DE 19971
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36101 Seaside Blvd
Rehoboth Beach, DE 19971-1147
Phone (609) 521-4746
Hospital & facility affiliations
- Aveanna Home Healthcare
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0001348 | DE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Delaware Hospice, Inc | Current | Accepting new patients | |
| Patient Care Medical Group Delaware LLC | Family Medicine | Current | Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Delaware Hospice, Inc | Family Medicine | Past | Accepting new patients |
| Delaware Hospice, Inc. | Family Medicine | Past | Accepting new patients |
Locations
630 Churchmans Rd
Ste 200
Newark, DE 19702
Phone (302) 478-5707
1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575
26 Main St
Edison, NJ 08837
Phone (609) 385-2622
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
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 and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Newark, DE
- NPI 1821361072
-
- Community Based Hospice Care Agency
- Milford, DE
- NPI 1033163712
Family Medicine
-
- Community Based Hospice Care Agency
- Glen Mills, PA
- NPI 1750661823
Family Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Milford, DE
- NPI 1487706263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709683200000",
"number": "1104461763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21202 BAYVIEW RD",
"city": "REHOBOTH BEACH",
"state": "DE",
"postal_code": "19971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 POLLY DRUMMOND SHPG CTR STE 2",
"city": "NEWARK",
"state": "DE",
"postal_code": "197114861",
"telephone_number": "302-478-5707",
"fax_number": "302-478-1351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIL",
"first_name": "GINNA",
"middle_name": "ELIZABETH",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-07",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "LG-0001348",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0001348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.