Active NPI
Marianne Theresa Liles, NPC
- Family Nurse Practitioner
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG0000326
- Practice address
- 7TH and Clayton Street
Wilmington, DE 19805 - Phone
- (302) 421-4343
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG0000326 | DE | Primary |
Addresses
Primary practice location
7TH and Clayton Street
Wilmington, DE 19805
Mailing address
1012 N Clayton St
Wilmington, DE 19805-2722
Phone (302) 593-3630
Other names 1
- Ms. Marianne Theresa McCusker
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Centurian Dr
Suite 106
Newark, DE 19713-2154
Phone (302) 999-0003
701 N Clayton St
Wilmington, DE 19805-3165
Phone (302) 421-4100
Hospital & facility affiliations
- St Francis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG0000326 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Emergency Physicians LLC | Current | Accepting new patients | |
| Abby Medical, LLC | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, P.C. | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Atlantic Physician Services of Maryland, PC | Current | Accepting new patients | |
| Medexpress, Inc - Delaware | Past | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
1 Centurian Dr
Ste 106
Newark, DE 19713
Phone (302) 322-9240
2700 Silverside Rd
Wilmington, DE 19810
Phone (302) 225-6868
701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100
Interoperability endpoints
- mmccuskerliles2017998@direct.trinity-health.org
Organizations & group practices 9
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.
-
- Urgent Care Clinic/Center
- Newark, DE
- NPI 1750554572
-
- Emergency Medicine Physician
- Wilmington, DE
- NPI 1104703461
-
- Physician Assistant
- Wilmington, DE
- NPI 1730129594
-
- Emergency Medicine Physician
- Newark, DE
- NPI 1639956451
-
- Hospitalist Physician
- Wilmington, DE
- NPI 1073706099
-
- Physician Assistant
- Baltimore, MD
- NPI 1174632376
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1255692182
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1295738896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1336207315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 N CLAYTON ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198052722",
"telephone_number": "302-593-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7TH AND CLAYTON STREET",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19805",
"telephone_number": "302-421-4343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LILES",
"first_name": "MARIANNE",
"middle_name": "THERESA",
"name_prefix": "Mrs.",
"credential": "NPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG0000326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIANNE",
"last_name": "MCCUSKER",
"middle_name": "THERESA",
"prefix": "MS.",
"credential": "NPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.