Individual provider Active NPI

Joann C Aubrey Marvel, FNP

  • Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1235480211
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN0001692 Issued in DE
Practice address
16644 Shoal Rd
Lewes, DE 19958-7006
Phone
(302) 271-4669
Fax
(302) 703-6634
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 APN0001692 DE Primary

Addresses

Primary practice location

16644 Shoal Rd
Lewes, DE 19958-7006

Mailing address

16644 Shoal Rd
Lewes, DE 19958-7006
Phone (302) 271-4669

Other practice location 1

20930 DuPont Blvd Unit 101
Georgetown, DE 19947-1723
Phone (302) 856-3737

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
I20121213000381 DE Practitioner - Nurse Practitioner 1658523964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golden Oak Medical LLCGroup PAC ID 4183964398, 4 clinicians

Practice addresses (Care Compare)

301 Ocean View Blvd
Lewes, DE 19958-1269
Phone (718) 598-6808

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Oak Medical LLC CurrentSince Nov 1, 2021 Accepting new patients
Sussex Internal Medicine LLC CurrentSince Oct 15, 2019 Accepting new patients
Geriatric Medicine Consultants PA CurrentSince Mar 13, 2019 Accepting new patients
Georgetown Medical Elder Care LLC Past Accepting new patients

Locations

301 Ocean View Blvd
Lewes, DE 19958
Phone (302) 645-4664

515 S DuPont Blvd
Milford, DE 19963
Phone (302) 422-6778

1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1235480211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16644 SHOAL RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199587006",
            "telephone_number": "302-271-4669",
            "fax_number": "302-703-6634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16644 SHOAL RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199587006",
            "telephone_number": "302-271-4669",
            "fax_number": "302-703-6634"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20930 DuPont Blvd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199471723",
            "country_code": "US",
            "telephone_number": "302-856-3737",
            "fax_number": "302-856-7337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARVEL",
        "first_name": "JOANN",
        "middle_name": "C AUBREY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "APN0001692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.