Individual provider Active NPI

Carol Yacula, NURSE PRACTITIONER

  • Nurse Practitioner
  • Rehoboth Beach, DE
National Provider Identifier
1336691815
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0010758 Issued in DE
Practice address
18947 John J Williams Hwy Unit 101
Rehoboth Beach, DE 19971-4480
Phone
(302) 645-3770
Fax
(302) 645-5718
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LP-0010758 DE Primary
Gerontology Nurse Practitioner 363LG0600X 10019605 OR
Adult Health Nurse Practitioner 363LA2200X 2016017862 MO

Addresses

Primary practice location

18947 John J Williams Hwy Unit 101
Rehoboth Beach, DE 19971-4480

Mailing address

1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 645-3499

Other practice location 1

6420 Clayton Rd
Clayton, MO 63117-1811
Phone (314) 645-3370

Other practice location 2

3303 S Bond Ave
Portland, OR 97239-4501
Phone (503) 494-6594

Other practice location 3

1011 Bowles Ave Ste G50
Fenton, MO 63026-0562
Phone (636) 496-4640

Other practice location 4

32750 Roxana Rd
Millville, DE 19967-6980
Phone (302) 645-3770

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cyacula196861@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170209000953 MO Practitioner - Nurse Practitioner 4688957087 Reassigns benefits to 1 organization
I20250204000195 DE Practitioner - Nurse Practitioner 4688957087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians
Beebe Medical Center IncGroup PAC ID 8921917972, 30 clinicians

Practice addresses (Care Compare)

18947 John J Williams Hwy
Tunnel Cancer Center
Rehoboth Beach, DE 19971-4480
Phone (302) 645-3770

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3300

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010758DEMDNurse Practitioner
2016017862MOMDAdult Health Nurse Practitioner
10019605ORMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. CurrentSince Nov 9, 2024 Accepting new patients
Beebe Medical Center, Inc. CurrentSince Nov 21, 2024 Accepting new patients
SSM Medical Group, Inc. CurrentSince Aug 1, 2018 Accepting new patients
SSM Medical Group Inc. CurrentSince Aug 1, 2018 Accepting new patients

Locations

1515 Savannah Rd
Lewes, DE 19958

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

100 Silicato Pkwy
Milford, DE 19963
Phone (302) 291-6200

100 Silicato Pkwy
Ste 200
Milford, DE 19963
Phone (302) 393-2056

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

32750 Roxana Rd
Millville, DE 19967
Phone (302) 645-3770

18947 John J Williams Hwy
Unit 101
Rehoboth Beach, DE 19971
Phone (302) 645-3770

18947 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 645-3010

1011 Bowles Ave
Ste G50
Fenton, MO 63026
Phone (636) 496-4600

400 Medical Plz
Ste 10
Lake St Louis, MO 63367
Phone (636) 625-6052

400 Medical Plz
Ste 100
Lake St Louis, MO 63367
Phone (636) 639-8600

1551 Wall St
Ste 310
Saint Charles, MO 63303
Phone (636) 669-2268

1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100

Interoperability endpoints

  • Direct secure messaging: cyacula22433@beebehealth.direct-ci.com
  • Direct secure messaging: cyacula196861@direct-ehr-ssmhc.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1336691815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY UNIT 101",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714480",
            "telephone_number": "302-645-3770",
            "fax_number": "302-645-5718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "MO",
            "postal_code": "631171811",
            "country_code": "US",
            "telephone_number": "314-645-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3303 S Bond Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394501",
            "country_code": "US",
            "telephone_number": "503-494-6594",
            "fax_number": "503-494-5385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Bowles Ave Ste G50",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630260562",
            "country_code": "US",
            "telephone_number": "636-496-4640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32750 Roxana Rd",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "DE",
            "postal_code": "199676980",
            "country_code": "US",
            "telephone_number": "302-645-3770",
            "fax_number": "302-645-5718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YACULA",
        "first_name": "CAROL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010758",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OR",
            "license": "10019605",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2016017862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cyacula196861@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cyacula196861@direct-ehr-ssmhc.com",
            "address_1": "1011 Bowles Ave Ste G50",
            "city": "Fenton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630260562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1011 Bowles Ave Ste G50",
            "city": "Fenton",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630260562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.