Individual provider Active NPI

Gwen Elizabeth Davis, FNP-BC; PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1508207135
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-001040457 Issued in DE
Practice address
424 Savannah Rd
Lewes, DE 19958-1462
Phone
(302) 645-3026
Fax
(833) 464-3793
NPI assigned
Jul 11, 2013
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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-0012517 DE
Family Nurse Practitioner 363LF0000X LG-0012517 DE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-001040457 DE Primary

Addresses

Primary practice location

424 Savannah Rd
Lewes, DE 19958-1462

Mailing address

1515 Savannah Rd FL 2
Lewes, DE 19958-1675
Phone (302) 645-3499

Other practice location 1

34382 Carpenters Way Ste 7&8
Lewes, DE 19958-4919
Phone (302) 645-3026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, 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
I20131210000707 VA Practitioner - Nurse Practitioner 5294962676 Reassigns benefits to 1 organization
I20240927001214 DE Practitioner - Nurse Practitioner 5294962676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

21635 Biden Ave
Georgetown, DE 19947-4574
Phone (302) 260-7360

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-001040457DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Community Health Center CurrentSince Sep 17, 2013 Accepting new patients
Loudoun Community Health Center CurrentSince Sep 17, 2013 Accepting new patients
Beebe Physician Network, Inc. Nurse Practitioner CurrentSince Jul 7, 2024 Accepting new patients
State of Delaware-Stockley CurrentSince Jul 7, 2024 Accepting new patients
Beebe Physician Network, Inc. PastSince Sep 17, 2023 Accepting new patients

Locations

21635 Biden Ave
Unit 203
Georgetown, DE 19947
Phone (302) 260-7360

1515 Savannah Rd
Lewes, DE 19958

1515 Savannah Rd
Fl 2
Lewes, DE 19958

33663 Bayview Medical Dr
#2
Lewes, DE 19958
Phone (302) 645-9325

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

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

163 Fort Evans Rd NE
Leesburg, VA 20176
Phone (703) 433-2000

Interoperability endpoints

  • Direct secure messaging: gdavis21105@beebehealth.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/6835/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1508207135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD FL 2",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581462",
            "telephone_number": "302-645-3026",
            "fax_number": "833-464-3793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34382 Carpenters Way Ste 7&8",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199584919",
            "country_code": "US",
            "telephone_number": "302-645-3026",
            "fax_number": "833-464-3793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "GWEN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-BC; PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0012517",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012517",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-001040457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.