Individual provider Active NPI

Julie Rollins, CRNP, FNP

  • Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1437480514
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000674 Issued in DE
Practice address
17005 Old Orchard Rd
Lewes, DE 19958-4828
Phone
(302) 703-4025
Fax
(302) 703-4027
NPI assigned
Jan 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AC-001173 MD
Nurse Practitioner 363L00000X LG-0000674 DE Primary

Addresses

Primary practice location

17005 Old Orchard Rd
Lewes, DE 19958-4828

Mailing address

17005 Old Orchard Rd
Lewes, DE 19958-4828
Phone (302) 703-4025

Other identifiers 2

IdentifierTypeStateIssuer
AC-001173OtherMDSTATE OF MARYLAND
LG-0000674OtherDESTATE OF DELAWARE

Other names 1

  • Julie Macklin 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
I20140107001182 DE Practitioner - Nurse Practitioner 3971747502 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Allergy and Asthma Associates PAGroup PAC ID 8921996380, 6 clinicians

Practice addresses (Care Compare)

20099 Office Cir
Suite 208
Georgetown, DE 19947-3196
Phone (302) 856-1773

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC-001173MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cape ENT, P.a. CurrentSince Sep 1, 2020 Accepting new patients

Locations

18947 John J Williams Hwy
Unit 201
Rehoboth Beach, DE 19971
Phone (302) 645-4801

Organizations & group practices 2

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": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1437480514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17005 OLD ORCHARD RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584828",
            "telephone_number": "302-703-4025",
            "fax_number": "302-703-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17005 OLD ORCHARD RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584828",
            "telephone_number": "302-703-4025",
            "fax_number": "302-703-4027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "JULIE",
        "credential": "CRNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "AC-001173",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND",
            "identifier": "AC-001173",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF DELAWARE",
            "identifier": "LG-0000674",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MACKLIN",
            "credential": "CRNP, FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.