Individual provider Active NPI

Corrine A Lewis, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1386914943
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03145 Issued in NC
Practice address
3411 Silverside Rd Ste 100
Wilmington, DE 19810-4811
Phone
(302) 543-5454
Fax
(302) 327-4200
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03145 NC Primary

Addresses

Primary practice location

3411 Silverside Rd Ste 100
Wilmington, DE 19810-4811

Mailing address

3411 Silverside Rd Ste 100
Wilmington, DE 19810-4811
Phone (302) 543-5454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20130627000439 NC Practitioner - Physician Assistant 1557500345 Reassigns benefits to 1 organization
I20240515003716 DE Practitioner - Physician Assistant 1557500345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern College of Osteo Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zarek Donohue LLCGroup PAC ID 5597807008, 22 clinicians

Practice addresses (Care Compare)

3411 Silverside Rd
Suite 100
Wilmington, DE 19810-4811
Phone (302) 543-5454

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-03145NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA CurrentSince Feb 22, 2023 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Feb 22, 2023 Accepting new patients
Zarek Donohue LLC CurrentSince Apr 13, 2024 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients

Locations

3411 Silverside Rd
Ste 100
Wilmington, DE 19810
Phone (302) 543-5454

Interoperability endpoints

  • Direct secure messaging: corrine.lewis@107234456698884.direct.elationemr.com

Organizations & group practices 7

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 1

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": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1386914943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD STE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104811",
            "telephone_number": "302-543-5454",
            "fax_number": "302-202-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD STE 100",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104811",
            "telephone_number": "302-543-5454",
            "fax_number": "302-327-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CORRINE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.