Individual provider Active NPI

Marcia Veleet Reynolds, FNP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1235103292
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000350 Issued in DE
Practice address
27 Marrows Road
Newark, DE 19713
Phone
(302) 652-2455
Fax
(302) 322-6251
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AC000326 MD
Family Nurse Practitioner 363LF0000X LG-0000350 DE Primary

Addresses

Primary practice location

27 Marrows Road
Newark, DE 19713

Mailing address

2 Penns Way
Suite 412
New Castle, DE 19720
Phone (302) 652-2455

Other identifiers 2

IdentifierTypeStateIssuer
LG-0000350OtherDESTATE LICENSE
L1-0002413OtherDERN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060213000186 MD Practitioner - Nurse Practitioner 0749295707 Reassigns benefits to 2 organizations
I20110617000225 DE Practitioner - Nurse Practitioner 0749295707 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

21635 Biden Ave
Unit 101
Georgetown, DE 19947-4575
Phone (302) 645-3555

2540 Centreville Rd
Centreville, MD 21617-2681
Phone (410) 758-4432

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. Family CurrentSince May 15, 2014 Accepting new patients
Sun Behavioral Delaware, LLC CurrentSince Sep 21, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 2, 2015 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
State of Delaware-Stockley CurrentSince May 15, 2014 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Dec 2, 2015 Accepting new patients
Westside Family Healthcare, Inc. CurrentSince Apr 22, 2011 Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

21655 Biden Ave
Georgetown, DE 19947
Phone (302) 207-9176

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

27 Marrows Rd
Newark, DE 19713
Phone (302) 455-0900

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

744 S Philadelphia Blvd
Ste B
Aberdeen, MD 21001
Phone (443) 345-2650

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

219 S Washington St
Easton, MD 21601

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

Interoperability endpoints

  • Direct secure messaging: mreynolds270702@direct.umm.edu

Organizations & group practices 8

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 7

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1235103292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PENNS WAY",
            "address_2": "SUITE 412",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "19720",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MARROWS ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-652-2455",
            "fax_number": "302-322-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "MARCIA",
        "middle_name": "VELEET",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC000326",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LG-0000350",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "L1-0002413",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.