Individual provider Active NPI

Crystal Fassett, FNP

  • Community Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1306559125
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
License
LG-0012236 Issued in DE
Practice address
2300 Pennsylvania Ave Ste 1a
Wilmington, DE 19806-1333
Phone
(302) 400-9999
Fax
(302) 600-3564
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X LG-0012236 DE Primary

Addresses

Primary practice location

2300 Pennsylvania Ave Ste 1a
Wilmington, DE 19806-1333

Mailing address

100 Penn Mart Shopping Ctr
New Castle, DE 19720-4209
Phone (302) 276-0103

Other practice location 1

100 Penn Mart Shopping Ctr
New Castle, DE 19720-4209
Phone (302) 276-0103

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
I20250207002167 DE Practitioner - Nurse Practitioner 1456881309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutrihealth LLCGroup PAC ID 9537597919, 29 clinicians

Practice addresses (Care Compare)

20930 Dupont Blvd
Unit 202
Georgetown, DE 19947-1724
Phone (302) 856-3737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0012236DEMDCommunity Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1306559125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PENN MART SHOPPING CTR",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197204209",
            "telephone_number": "302-276-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PENNSYLVANIA AVE STE 1A",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061333",
            "telephone_number": "302-400-9999",
            "fax_number": "302-600-3564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Penn Mart Shopping Ctr",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197204209",
            "country_code": "US",
            "telephone_number": "302-276-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASSETT",
        "first_name": "CRYSTAL",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "DE",
            "license": "LG-0012236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.