Individual provider Active NPI

Jessica Viola Hammond, FNP-BC

  • Nurse Practitioner
  • Selbyville, DE
National Provider Identifier
1447648522
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000888 Issued in DE
Practice address
36450 Tidal Rd Unit BC
Selbyville, DE 19975-4596
Phone
(302) 291-6045
Fax
(833) 449-3867
NPI assigned
Dec 24, 2014
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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 LG-0000888 DE Primary
Family Nurse Practitioner 363LF0000X LG-0000888 DE
Registered Nurse 163W00000X L1-0037864 DE

Addresses

Primary practice location

36450 Tidal Rd Unit BC
Selbyville, DE 19975-4596

Mailing address

36450 Tidal Rd Unit BC
Selbyville, DE 19975-4596
Phone (302) 291-6045

Other practice location 1

36446 Roxana Rd
Selbyville, DE 19975-3301
Phone (302) 236-4006

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
I20151117001198 DE Practitioner - Nurse Practitioner 5496065740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

32550 Docs PL
Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L1-0037864DEMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network, Inc. Nurse Practitioner CurrentSince Oct 31, 2016 Accepting new patients

Locations

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

12100 Black Swan Dr
Ste 104
Lewes, DE 19958
Phone (302) 645-1315

1305 Savannah Rd
Ste 1
Lewes, DE 19958
Phone (302) 645-2281

34445 King Street Row
Lewes, DE 19958
Phone (302) 645-2833

28538 DuPont Blvd
Unit 1
Millsboro, DE 19966
Phone (302) 829-3294

32050 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-3150

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

23900 Milton Ellendale Hwy
Ste 101
Milton, DE 19968
Phone (302) 684-2033

18947 John J Williams Hwy
Unit 303
Rehoboth Beach, DE 19971
Phone (302) 644-0690

36450 Tidal Rd
Unit 2
Selbyville, DE 19975
Phone (302) 291-6045

Interoperability endpoints

  • Direct secure messaging: jhammond22423@beebehealth.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1419379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1447648522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36450 TIDAL RD UNIT BC",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199754596",
            "telephone_number": "302-291-6045",
            "fax_number": "833-449-3867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36450 TIDAL RD UNIT BC",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199754596",
            "telephone_number": "302-291-6045",
            "fax_number": "833-449-3867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36446 Roxana Rd",
            "address_purpose": "LOCATION",
            "city": "Selbyville",
            "state": "DE",
            "postal_code": "199753301",
            "country_code": "US",
            "telephone_number": "302-236-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "JESSICA",
        "middle_name": "VIOLA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-24",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000888",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000888",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0037864",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Selbyville, DE

Sources for this page

Verify at the official NPI Registry.