Individual provider Active NPI

Angeline Wlock, MSN, AGPCNP-C, CHPN

  • Nurse Practitioner
  • Dover, DE
National Provider Identifier
1255143392
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0010861 Issued in DE
Practice address
555 E Loockerman St Ste 200
Dover, DE 19901-3779
Phone
(302) 678-4444
NPI assigned
Jan 24, 2025
Last updated
Feb 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP031933 PA
Nurse Practitioner 363L00000X LP-0010861 DE Primary

Addresses

Primary practice location

555 E Loockerman St Ste 200
Dover, DE 19901-3779

Mailing address

1361 Dexter Corner Rd
Townsend, DE 19734-9245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LP-0010861DEMDNurse Practitioner
SP031933PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Hospice, Inc CurrentSince Mar 3, 2025 Accepting new patients

Locations

555 E Loockerman St
Ste 200
Dover, DE 19901
Phone (302) 478-5707

630 Churchmans Rd
Ste 200
Newark, DE 19702
Phone (302) 478-5707

Organizations & group practices 1

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": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1255143392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 DEXTER CORNER RD",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E LOOCKERMAN ST STE 200",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013779",
            "telephone_number": "302-678-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WLOCK",
        "first_name": "ANGELINE",
        "credential": "MSN, AGPCNP-C, CHPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP031933",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.