Individual provider Active NPI

Anesha Victor, NP

  • Nurse Practitioner
  • Newark, DE
National Provider Identifier
1215346150
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0000112 Issued in DE
Practice address
94A Omega Dr
Newark, DE 19713-2066
Phone
(302) 550-3484
Fax
(302) 556-3484
NPI assigned
Aug 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X LP-0000112 DE
Nurse Practitioner 363L00000X LP-0000112 DE Primary

Addresses

Primary practice location

94A Omega Dr
Newark, DE 19713-2066

Mailing address

PO Box 67526
Newark, NJ 07101-8009
Phone (302) 266-9166

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
I20150209000298 DE Practitioner - Nurse Practitioner 9638494925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Specialists PAGroup PAC ID 8527222835, 4 clinicians

Practice addresses (Care Compare)

1941 Limestone Rd
Suite 211
Wilmington, DE 19808-5400
Phone (302) 543-8100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Heart and Vascular Group LLC CurrentSince Jan 26, 2025 Accepting new patients
Vascular Specialists, P.a. CurrentSince Nov 8, 2024 Accepting new patients

Locations

222 Carter Dr
Middletown, DE 19709
Phone (302) 550-3484

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

94A Omega Dr
Newark, DE 19713
Phone (302) 550-3484

1941 Limestone Rd
Ste 211
Wilmington, DE 19808
Phone (302) 998-1151

1508 Pennsylvania Ave
Ste 2A
Wilmington, DE 19806
Phone (302) 428-1458

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1215346150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67526",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018009",
            "telephone_number": "302-266-9166",
            "fax_number": "866-670-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94A OMEGA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132066",
            "telephone_number": "302-550-3484",
            "fax_number": "302-556-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTOR",
        "first_name": "ANESHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-05",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LP-0000112",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0000112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.