Individual provider Active NPI

Julie G. Mbua, NP

  • Primary Care Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1265208474
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
LP-0010684 Issued in DE
Practice address
4515 Griffin Dr
Wilmington, DE 19808-4254
Phone
(302) 999-7364
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X LP-0010684 DE Primary

Addresses

Primary practice location

4515 Griffin Dr
Wilmington, DE 19808-4254

Mailing address

1216 Canvasback Dr
New Castle, DE 19720-8936
Phone (302) 521-6436

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
I20240110000145 DE Practitioner - Nurse Practitioner 5698126027 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Family Medicine LLC. CurrentSince Dec 28, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julie.mbua.1@31535.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1265208474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 CANVASBACK DR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197208936",
            "telephone_number": "302-521-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 GRIFFIN DR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084254",
            "telephone_number": "302-999-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBUA",
        "first_name": "JULIE",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LP-0010684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.