Individual provider Active NPI

Heather McGlynn, CRNP

  • Primary Care Nurse Practitioner
  • Millsboro, DE
National Provider Identifier
1306218854
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP015472 Issued in PA
Practice address
26002 John J Williams Hwy
Millsboro, DE 19966-4948
Phone
(302) 947-4200
Fax
(717) 846-8410
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X LP-0010490 DE
Primary Care Nurse Practitioner 363LP2300X SP015472 PA Primary

Addresses

Primary practice location

26002 John J Williams Hwy
Millsboro, DE 19966-4948

Mailing address

1601 Milltown Rd
Wilmington, DE 19808-4027
Phone (302) 543-6165

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
I20230911000375 DE Practitioner - Nurse Practitioner 8820390404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatric Medicine Consultants PAGroup PAC ID 0244492072, 27 clinicians

Practice addresses (Care Compare)

1601 Milltown Rd
Suite 2
Wilmington, DE 19808-4047
Phone (302) 543-6165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010490DEMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Medicine Consultants PA CurrentSince Jul 29, 2023 Accepting new patients

Locations

26002 John J Williams Hwy
Millsboro, DE 19966
Phone (302) 947-4200

1601 Milltown Rd
Ste 3
Wilmington, DE 19808

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

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1306218854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084027",
            "telephone_number": "302-543-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26002 JOHN J WILLIAMS HWY",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199664948",
            "telephone_number": "302-947-4200",
            "fax_number": "717-846-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGLYNN",
        "first_name": "HEATHER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "DE",
            "license": "LP-0010490",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP015472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.