Individual provider Active NPI

Alice Marcelle Ekobeni, CRNP

  • Primary Care Nurse Practitioner
  • Newark, DE
National Provider Identifier
1487259164
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
SP021622 Issued in PA
Practice address
774 Christiana Rd Ste 202
Newark, DE 19713-4221
Phone
(302) 366-7671
Fax
(302) 366-7671
NPI assigned
Dec 1, 2020
Last updated
Aug 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X SP021622 PA Primary

Addresses

Primary practice location

774 Christiana Rd Ste 202
Newark, DE 19713-4221

Mailing address

774 Christiana Rd Ste 202
Newark, DE 19713-4221
Phone (302) 366-7671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 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
I20221201000618 PA Practitioner - Nurse Practitioner 5294103891 Reassigns benefits to 2 organizations
I20240708000402 DE Practitioner - Nurse Practitioner 5294103891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Neurosurgical Group, PAGroup PAC ID 1557300431, 24 clinicians

Practice addresses (Care Compare)

774 Christiana Rd
Suite 202
Newark, DE 19713-4221
Phone (302) 366-7671

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.68 of 100Reported as group
Quality
46.2
Promoting interoperability
65
Improvement activities
40
Cost
65.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP021622PAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jan 9, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Apr 24, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 9, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alicemarcelle.ekobeni@deneurosurgical.directbygreenway.com

Organizations & group practices 5

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 4

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": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1487259164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134221",
            "telephone_number": "302-366-7671",
            "fax_number": "302-366-7671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134221",
            "telephone_number": "302-366-7671",
            "fax_number": "302-366-7671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKOBENI",
        "first_name": "ALICE MARCELLE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-01",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "PA",
            "license": "SP021622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.