Individual provider Active NPI

Sedelle Henderson-Bamidele, NP

  • Nurse Practitioner
  • Bear, DE
National Provider Identifier
1407395759
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0000189 Issued in DE
Practice address
1102 Quintilio Dr
Bear, DE 19701-6004
Phone
(302) 481-4181
NPI assigned
Feb 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP-017144 PA
Nurse Practitioner 363L00000X LP-0000189 DE Primary

Addresses

Primary practice location

1102 Quintilio Dr
Bear, DE 19701-6004

Mailing address

PO Box 10601
Wilmington, DE 19850-0601
Phone (302) 276-9590

Other practice location 1

4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Phone (302) 225-0451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE, PA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170510000756 MD Practitioner - Nurse Practitioner 7012177595 Reassigns benefits to 1 organization
I20170510001888 DE Practitioner - Nurse Practitioner 7012177595 Reassigns benefits to 3 organizations
I20200123002953 PA Practitioner - Nurse Practitioner 7012177595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates PAGroup PAC ID 9830098177, 55 clinicians

Practice addresses (Care Compare)

137 W High St
Suite 1a
Elkton, MD 21921-8614
Phone (410) 620-9200

291 Wilmington W Chester Pike
Chadds Ford, PA 19317-9039
Phone (484) 842-1798

4923 Ogletown Stanton Rd
Suite 200
Newark, DE 19713-2081
Phone (302) 225-0451

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP-017144PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates PA CurrentSince Apr 3, 2017 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jul 22, 2024 Accepting new patients
Diversity Care NP Group LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients

Locations

1107 Quintilio Dr
Bear, DE 19701
Phone (302) 276-9590

1102 Quintilio Dr
Bear, DE 19701
Phone (302) 276-9590

1107 Quintilio Dr
Bear, DE 19701
Phone (302) 276-9590

4923 Ogletown Stanton Rd
Ste 200
Newark, DE 19713
Phone (302) 225-0451

701 N Clayton St
Ste 401
Wilmington, DE 19805
Phone (302) 225-0451

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

137 W High St
Ste 1A
Elkton, MD 21921
Phone (410) 620-9200

291 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (484) 842-1798

291 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (484) 842-1798

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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": "1487548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1407395759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10601",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198500601",
            "telephone_number": "302-276-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 QUINTILIO DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197016004",
            "telephone_number": "302-481-4181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4923 Ogletown Stanton Rd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132081",
            "country_code": "US",
            "telephone_number": "302-225-0451",
            "fax_number": "302-225-0472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON-BAMIDELE",
        "first_name": "SEDELLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-20",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP-017144",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0000189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.