Individual provider Active NPI

Melvis E Ngalla-Oluka, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1245598846
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000189 Issued in DE
Practice address
501 W 14TH St Ste 1E30
Wilmington, DE 19801-1013
Phone
(302) 320-9660
Fax
(302) 320-9665
NPI assigned
May 2, 2012
Last updated
Aug 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X L8-0000189 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000189 DE Primary
Registered Nurse 163W00000X L1-0047893 DE

Addresses

Primary practice location

501 W 14TH St Ste 1E30
Wilmington, DE 19801-1013

Mailing address

501 W 14TH St Ste 1E30
Wilmington, DE 19801-1013

Other names 1

  • Melvis E Ngalla Former name

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
I20190909000172 DE Practitioner - Nurse Practitioner 1951630599 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware Behavioral Health IncGroup PAC ID 8921227174, 16 clinicians

Practice addresses (Care Compare)

240 N James St
Suite 100 D
Newport, DE 19804-3167
Phone (302) 543-4425

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0047893DEMDRegistered Nurse
L8-0000189DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Psychiatric/Mental Health CurrentSince Aug 16, 2019 Accepting new patients
Delaware Behavioral Health, Inc. CurrentSince Apr 1, 2021 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 16, 2019 Accepting new patients

Locations

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

240 N James St
Ste 100D
Wilmington, DE 19804
Phone (302) 543-4425

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

501 W 14th St
Ste 1E30
Wilmington, DE 19801
Phone (302) 320-9660

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1245598846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST STE 1E30",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST STE 1E30",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-320-9660",
            "fax_number": "302-320-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGALLA-OLUKA",
        "first_name": "MELVIS",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L8-0000189",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000189",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0047893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELVIS",
            "last_name": "NGALLA",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.