Individual provider Active NPI

Monica Sam, FNP

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1184115354
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0001069 Issued in DE
Practice address
2006 Limestone Rd Ste 7
Wilmington, DE 19808
Phone
(302) 355-2383
Fax
(302) 351-6261
NPI assigned
May 23, 2018
Last updated
May 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0001069 DE Primary

Addresses

Primary practice location

2006 Limestone Rd Ste 7
Wilmington, DE 19808

Mailing address

2300 Pennsylvania Ave Ste 3B
Wilmington, DE 19806-1333
Phone (302) 596-8999

Other identifiers 1

IdentifierTypeStateIssuer
LG-0001069OtherDESTATE LICENSE

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
I20200304000781 DE Practitioner - Nurse Practitioner 4385071356 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Associates, IncGroup PAC ID 9335035740, 6 clinicians

Practice addresses (Care Compare)

191 Christiana Rd
Suite 3
New Castle, DE 19720-3024
Phone (302) 322-1794

2300 Pennsylvania Ave
Suite 3B
Wilmington, DE 19806-1333
Phone (302) 250-4084

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Associates, Inc CurrentSince Jan 20, 2020 Accepting new patients
Vista Medical Services, Inc. CurrentSince Mar 15, 2024 Accepting new patients
Imperial Psychiatric Services LLC CurrentSince Nov 1, 2020 Accepting new patients
Alpha Health Care Associates Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients

Locations

379 Walmart Dr
Camden, DE 19934
Phone (302) 387-4343

231 S Washington St
Millsboro, DE 19966
Phone (302) 645-4664

191 Christiana Rd
New Castle, DE 19720
Phone (302) 322-1794

191 Christiana Rd
Ste 3
New Castle, DE 19720
Phone (302) 322-1794

510 Christiana Medical Ctr
Newark, DE 19702
Phone (302) 454-8880

2300 Pennsylvania Ave
Ste 3B
Wilmington, DE 19806
Phone (302) 250-4084

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1184115354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 3B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061333",
            "telephone_number": "302-596-8999",
            "fax_number": "302-596-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 LIMESTONE RD STE 7",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-355-2383",
            "fax_number": "302-351-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "MONICA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LG-0001069",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.