Individual provider Active NPI

Janice E Nevin, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1487625117
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10006622 Issued in DE
Practice address
1400 N Washington St
Wilmington Hospital Annex, Suite 300
Wilmington, DE 19801-1024
Phone
(302) 477-3300
Fax
(302) 477-3311
NPI assigned
Jan 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10006622 DE Primary

Addresses

Primary practice location

1400 N Washington St
Wilmington Hospital Annex, Suite 300
Wilmington, DE 19801-1024

Mailing address

1400 N Washington St
Wilmington Hospital Annex, Suite 300
Wilmington, DE 19801-1024
Phone (302) 477-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100212000489 DE Practitioner - Family Practice 2567521503 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2002 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 1, 2002 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1400 N Washington St
Ste 300
Wilmington, DE 19801
Phone (302) 320-5700

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Organizations & group practices 3

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": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1487625117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 N WASHINGTON ST",
            "address_2": "WILMINGTON HOSPITAL ANNEX, SUITE 300",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011024",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 N WASHINGTON ST",
            "address_2": "WILMINGTON HOSPITAL ANNEX, SUITE 300",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011024",
            "telephone_number": "302-477-3300",
            "fax_number": "302-477-3311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVIN",
        "first_name": "JANICE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10006622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.