Individual provider Active NPI

Nicole Wotus-Silvestri, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1508938481
Registry record updated Aug 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000576 Issued in DE
Practice address
537 Stanton Christiana Rd
Suite 209, Apex Medical Building
Newark, DE 19713-2146
Phone
(302) 633-7550
Fax
(302) 225-3774
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 25MP00136500 NJ
Physician Assistant 363A00000X C5-0000576 DE Primary

Addresses

Primary practice location

537 Stanton Christiana Rd
Suite 209, Apex Medical Building
Newark, DE 19713-2146

Mailing address

537 Stanton Christiana Rd
Suite 209, Apex Medical Building
Newark, DE 19713-2146
Phone (302) 633-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20191203001213 PA Practitioner - Physician Assistant 8022061837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David a Horvath MD PCGroup PAC ID 9234270711, 6 clinicians

Practice addresses (Care Compare)

110 Fort Couch Rd
Suite 203
Pittsburgh, PA 15241-1030
Phone (412) 831-8300

Hospital & facility affiliations

  • Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

Merit-based Incentive Payment System (MIPS)

Final score
70.84 of 100Reported as group
Quality
35.62
Promoting interoperability
96
Improvement activities
40
Cost
70.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00136500NJMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WMC Physician Practices LLC CurrentSince Jun 1, 2018 Accepting new patients
Sandra Vause, M.D., P.C. Dermatology PastSince Apr 1, 1999 Accepting new patients
Premier Dermatology Past Accepting new patients
Delaware Center for Digestive Care LLC Past Accepting new patients

Locations

560 Steubenville Pike
Paris, PA 15021
Phone (724) 947-5350

651 Colliers Way
Ste 300
Weirton, WV 26062
Phone (304) 797-6404

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283212800000",
    "number": "1508938481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "SUITE 209, APEX MEDICAL BUILDING",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-633-7550",
            "fax_number": "302-225-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 STANTON CHRISTIANA RD",
            "address_2": "SUITE 209, APEX MEDICAL BUILDING",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132146",
            "telephone_number": "302-633-7550",
            "fax_number": "302-225-3774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOTUS-SILVESTRI",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NJ",
            "license": "25MP00136500",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.