Individual provider Active NPI

Jennifer Smith, FNP-BC

  • Family Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1134917859
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0013218 Issued in DE
Practice address
2000 Foulk Rd Ste a
Wilmington, DE 19810-3642
Phone
(302) 475-8000
NPI assigned
Apr 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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-0013218 DE Primary

Addresses

Primary practice location

2000 Foulk Rd Ste a
Wilmington, DE 19810-3642

Mailing address

300 E Marshall St Apt 304
West Chester, PA 19380-2462
Phone (973) 722-2353

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
I20250813000468 DE Practitioner - Nurse Practitioner 1951809466 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
Pennsylvania Dermatology Partners IncGroup PAC ID 3274794268, 75 clinicians

Practice addresses (Care Compare)

6300 Limestone Rd
Suite Aandb
Hockessin, DE 19707-9178
Phone (302) 485-9995

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0013218DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pennsylvania Dermatology Partners Inc CurrentSince May 19, 2025 Accepting new patients
Fanny J Berg M.D.,P.a. PastSince May 4, 2025 Accepting new patients

Locations

6300 Limestone Rd
#A
Hockessin, DE 19707
Phone (302) 485-9995

2000 Foulk Rd
Ste A
Wilmington, DE 19810
Phone (302) 475-8000

3569 Silverside Rd
Ste C
Wilmington, DE 19810
Phone (302) 475-8000

258 Ben Franklin Hwy E
Birdsboro, PA 19508
Phone (610) 288-2918

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1134917859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MARSHALL ST APT 304",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193802462",
            "telephone_number": "973-722-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 FOULK RD STE A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198103642",
            "telephone_number": "302-475-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JENNIFER",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.