Individual provider Active NPI

Pauline Omanya

  • Family Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1184033227
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000744 Issued in DE
Practice address
660 Baylor Blvd
New Castle, DE 19720-1140
Phone
(302) 577-3004
NPI assigned
Aug 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0000744 DE
Family Nurse Practitioner 363LF0000X LG-0000744 DE Primary

Addresses

Primary practice location

660 Baylor Blvd
New Castle, DE 19720-1140

Mailing address

6 Chilmark CT
Bear, DE 19701-3815
Phone (302) 983-6875

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
I20160314001701 DE Practitioner - Nurse Practitioner 5496051625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

200 Banning St
Suite 170
Dover, DE 19904-3491
Phone (302) 674-1999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000744DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MNR Industries, LLC CurrentSince May 9, 2016 Accepting new patients
Christiana Care Quality Partners CurrentSince Jun 13, 2021 Accepting new patients
MNR Industries, LLC CurrentSince May 9, 2016 Accepting new patients
MNR Industries, LLC Current Accepting new patients
MNR Industries LLC Past Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
State of Delaware PastSince Mar 7, 2021 Accepting new patients

Locations

1011 E Songsmith Dr
Bear, DE 19701
Phone (302) 918-7501

200 Banning St
Ste 170
Dover, DE 19904
Phone (302) 674-1999

749 Middletown Warwick Rd
Middletown, DE 19709
Phone (302) 273-1614

550 S College Ave
Ste 115
Newark, DE 19713
Phone (302) 273-0727

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

300 Jimmy Dr
Ste 100
Smyrna, DE 19977
Phone (302) 696-2129

300 Jimmy Dr
Smyrna, DE 19977
Phone (302) 273-1163

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

1505 E Churchville Rd
#A
Bel Air, MD 21014
Phone (410) 420-6970

1505 E Churchville Rd
Bel Air, MD 21014
Phone (410) 420-6970

300 E Pulaski Hwy
Elkton, MD 21921
Phone (410) 392-6202

Interoperability endpoints

  • Direct secure messaging: pauline.omanya@ghuccc.eclinicaldirectplus.com

Organizations & group practices 7

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": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1184033227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CHILMARK CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013815",
            "telephone_number": "302-983-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 BAYLOR BLVD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201140",
            "telephone_number": "302-577-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMANYA",
        "first_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000744",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.