Individual provider Active NPI

Elizabeth Nzomo

  • Gerontology Nurse Practitioner
  • Bear, DE
National Provider Identifier
1467171322
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
000044504 Issued in DE
Practice address
1332 King James CT
Bear, DE 19701-4744
Phone
(302) 983-2895
NPI assigned
Aug 24, 2022
Reactivated
Oct 18, 2022
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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 LP-0010584 DE
Gerontology Nurse Practitioner 363LG0600X 000044504 DE Primary

Addresses

Primary practice location

1332 King James CT
Bear, DE 19701-4744

Mailing address

1332 King James CT
Bear, DE 19701-4744
Phone (302) 983-2895

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
I20221110002887 DE Practitioner - Nurse Practitioner 9234506809 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
De Pacs 2 PAGroup PAC ID 0244580926, 26 clinicians
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians

Practice addresses (Care Compare)

1175 McKee Rd
Dover, DE 19904-2268
Phone (302) 744-3600

4 Summerthur Dr
Bear, DE 19701-4014
Phone (302) 983-2895

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

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

820 Middletown Odessa Rd
Middletown, DE 19709-9049
Phone (302) 828-0988

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010584DEMDNurse Practitioner
000044504DEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Wellness and Counseling Services LLC CurrentSince May 20, 2025 Accepting new patients
CS Pacs 3 Northeast, LLC CurrentSince Sep 23, 2024 Accepting new patients
De Pacs 2 PA CurrentSince Sep 23, 2024 Accepting new patients
Quality Homecare NP LLC Gerontology CurrentSince May 20, 2025 Accepting new patients
Geriatric Medicine Consultants PA CurrentSince Oct 1, 2022 Accepting new patients
Delaware Post Acute Medical Services 1 CurrentSince Sep 23, 2024 Accepting new patients

Locations

1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542

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

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

Organizations & group practices 6

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 8

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1467171322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 KING JAMES CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197014744",
            "telephone_number": "302-983-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 KING JAMES CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197014744",
            "telephone_number": "302-983-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NZOMO",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "deactivation_date": "2022-10-05",
        "reactivation_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010584",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "DE",
            "license": "000044504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.