Individual provider Active NPI

Julie Renee Sims, PA-C

  • Physician Assistant
  • Wilmington, DE
National Provider Identifier
1467944645
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0001205 Issued in DE
Practice address
3411 Silverside Rd Ste 107
Wilmington, DE 19810-4806
Phone
(610) 357-9183
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0001205 DE Primary

Addresses

Primary practice location

3411 Silverside Rd Ste 107
Wilmington, DE 19810-4806

Mailing address

3411 Silverside Rd Ste 107
Wilmington, DE 19810-4806
Phone (302) 478-8532

Other names 1

  • Ms. Julie Renee Cherico Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20181008001810 DE Practitioner - Physician Assistant 2365794054 Reassigns benefits to 2 organizations
I20210108001603 PA Practitioner - Physician Assistant 2365794054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke Dermatology PA 11 clinicians
Pennsylvania Centre for Dermatology, LLC 40 clinicians

Practice addresses (Care Compare)

212 Carter Dr
Suite a
Middletown, DE 19709-5837
Phone (302) 449-2400

701 E Baltimore Pike
Kennett Square, PA 19348-2400
Phone (610) 594-6660

774 Christiana Rd
Suite 107
Newark, DE 19713-4248
Phone (302) 230-3376

822 Pine St
Philadelphia, PA 19107-6187
Phone (267) 519-0154

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0001205DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Ears Nose and Throat LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: julie.sims@schweigerderm.emadirect.md

Organizations & group practices 4

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1467944645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD STE 107",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104806",
            "telephone_number": "302-478-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 SILVERSIDE RD STE 107",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104806",
            "telephone_number": "610-357-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "JULIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CHERICO",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.