Individual provider Active NPI

Jerome Michael Maxfield, CRNP

  • Nurse Practitioner
  • Rehoboth Beach, DE
National Provider Identifier
1528129376
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0010842 Issued in DE
Practice address
18947 John J Williams Hwy
Rehoboth Beach, DE 19971-4474
Phone
(302) 645-3770
Fax
(302) 645-5718
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP008831 PA
Adult Health Nurse Practitioner 363LA2200X SP008831 PA
Adult Health Nurse Practitioner 363LA2200X R150406 MD
Nurse Practitioner 363L00000X LP-0010842 DE Primary

Addresses

Primary practice location

18947 John J Williams Hwy
Rehoboth Beach, DE 19971-4474

Mailing address

5501 Old York Rd
Korman-Suite 202
Philadelphia, PA 19141-3018

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8024

Other practice location 2

5501 Old York Rd
Braemer Building-1st Floor
Philadelphia, PA 19141-3018
Phone (215) 456-3880

Other practice location 3

Ephrata Cancer Center
460 N Reading Rd
Ephrata, PA 17522-9606
Phone (717) 721-4840

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
I20070117000022 PA Practitioner - Nurse Practitioner 7416958574 Reassigns benefits to 1 organization
I20250128000168 DE Practitioner - Nurse Practitioner 7416958574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Emory University School of Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians
Beebe Medical Center IncGroup PAC ID 8921917972, 30 clinicians

Practice addresses (Care Compare)

18947 John J Williams Hwy
Tunnel Cancer Center
Rehoboth Beach, DE 19971-4480
Phone (302) 645-3770

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3300

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
56.69
Promoting interoperability
100
Improvement activities
40
Cost
74.52

Merit-based Incentive Payment System (MIPS)

Final score
82.85 of 100Reported as group
Quality
65.84
Promoting interoperability
100
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010842DEMDNurse Practitioner
SP008831PAMDNurse Practitioner
R150406MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. CurrentSince Dec 12, 2024 Accepting new patients
State of Delaware-Stockley CurrentSince Dec 12, 2024 Accepting new patients
Tower Health Medical Group CurrentSince Jan 9, 2017 Accepting new patients
Beebe Medical Center, Inc. CurrentSince Dec 12, 2024 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Tower Health Medical Group CurrentSince Jan 9, 2017 Accepting new patients

Locations

1515 Savannah Rd
Ste 200
Lewes, DE 19958

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

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

18947 John J Williams Hwy
Unit 101
Rehoboth Beach, DE 19971
Phone (302) 645-3770

18947 John J Williams Hwy
Rehoboth Beach, DE 19971
Phone (302) 645-3010

2610 Keiser Blvd
Wyomissing, PA 19610
Phone (484) 628-9127

Interoperability endpoints

  • Direct secure messaging: jmaxfield22434@beebehealth.direct-ci.com

Organizations & group practices 6

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 6

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1528129376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 OLD YORK RD",
            "address_2": "KORMAN-SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714474",
            "telephone_number": "302-645-3770",
            "fax_number": "302-645-5718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8024",
            "fax_number": "717-531-0882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Old York Rd",
            "address_2": "Braemer Building-1st Floor",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-3880",
            "fax_number": "215-456-3437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Ephrata Cancer Center",
            "address_2": "460 N Reading Rd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229606",
            "country_code": "US",
            "telephone_number": "717-721-4840",
            "fax_number": "717-739-3558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "JEROME",
        "middle_name": "MICHAEL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP008831",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP008831",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R150406",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

Verify at the official NPI Registry.