Individual provider Active NPI

Carole Menzel Breitkreitz, NP

  • Nurse Practitioner
  • Dover, DE
National Provider Identifier
1255571998
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000484 Issued in DE
Practice address
200 Banning St
Ste 170
Dover, DE 19904-3485
Phone
(302) 400-9999
Fax
(302) 487-1167
NPI assigned
Feb 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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 LG-0000484 DE Primary

Addresses

Primary practice location

200 Banning St
Ste 170
Dover, DE 19904-3485

Mailing address

PO Box 67537
Newark, NJ 07101-8009
Phone (302) 400-9999

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
I20131015000092 DE Practitioner - Nurse Practitioner 9830323468 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000484DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Hospice, Inc CurrentSince Jun 19, 2013 Accepting new patients

Locations

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

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, 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": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1255571998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67537",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018009",
            "telephone_number": "302-400-9999",
            "fax_number": "302-267-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "STE 170",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043485",
            "telephone_number": "302-400-9999",
            "fax_number": "302-487-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREITKREITZ",
        "first_name": "CAROLE",
        "middle_name": "MENZEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-20",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.