Individual provider Active NPI

Christina West McKain, APRN

  • Adult Health Nurse Practitioner
  • Newark, DE
National Provider Identifier
1407222417
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
LP-0010682 Issued in DE
Practice address
750 Prides Xing Ste 110
Newark, DE 19713-6107
Phone
(302) 737-7080
NPI assigned
Aug 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 022704 OH
Adult Health Nurse Practitioner 363LA2200X 3009553 KY
Adult Health Nurse Practitioner 363LA2200X R260617 MD
Adult Health Nurse Practitioner 363LA2200X LP-0010682 DE Primary

Addresses

Primary practice location

750 Prides Xing Ste 110
Newark, DE 19713-6107

Mailing address

750 Prides Xing Ste 110
Newark, DE 19713-6107
Phone (302) 737-7080

Other practice location 1

254 W Main St
Newark, DE 19711-3235
Phone (302) 731-5576

Other practice location 2

200 E Village Rd
Newark, DE 19713-3845
Phone (302) 366-8100

Other names 1

  • Christina Marie West Former name

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
I20241121004750 DE Practitioner - Nurse Practitioner 8426364977 Reassigns benefits to 3 organizations

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
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians
De Pacs 2 PAGroup PAC ID 0244580926, 26 clinicians

Practice addresses (Care Compare)

200 E Village Rd
Newark, DE 19713-3845
Phone (302) 366-8100

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 764-0181

810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010682DEMDAdult Health Nurse Practitioner
R260617MDMDAdult Health Nurse Practitioner
022704OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CS Pacs 3 Northeast, LLC CurrentSince Dec 2, 2024 Accepting new patients
Delaware Post Acute Medical Services 1 CurrentSince Dec 2, 2024 Accepting new patients
De Pacs 2 PA CurrentSince Dec 2, 2024 Accepting new patients

Locations

254 W Main St
Newark, DE 19711
Phone (302) 453-1588

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

Organizations & group practices 3

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": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1407222417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 PRIDES XING STE 110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136107",
            "telephone_number": "302-737-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 PRIDES XING STE 110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197136107",
            "telephone_number": "302-737-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 W Main St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197113235",
            "country_code": "US",
            "telephone_number": "302-731-5576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 E Village Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197133845",
            "country_code": "US",
            "telephone_number": "302-366-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKAIN",
        "first_name": "CHRISTINA",
        "middle_name": "WEST",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "022704",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3009553",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R260617",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LP-0010682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "WEST",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.