Individual provider Active NPI

Devon Santucci, FNP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1558016154
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011578 Issued in DE
Practice address
200 Hygeia Dr
Newark, DE 19713-2049
Phone
(302) 273-1701
Fax
(302) 273-4497
NPI assigned
Feb 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP022321 PA
Family Nurse Practitioner 363LF0000X LG-0011578 DE Primary
Registered Nurse 163W00000X L1-0047019 DE
Registered Nurse 163W00000X R266210 MD
Nurse Practitioner 363L00000X LG-0011578 DE

Addresses

Primary practice location

200 Hygeia Dr
Newark, DE 19713-2049

Mailing address

109 Garden Station Rd
Avondale, PA 19311-9366
Phone (610) 955-7275

Other practice location 1

154 Exton Square Mall
Exton, PA 19341-2440
Phone (484) 565-1293

Other practice location 2

310 E Pulaski Hwy
Elkton, MD 21921-6435
Phone (443) 485-6213

Other names 1

  • Devon Shellenberger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20220510000982 PA Practitioner - Nurse Practitioner 7911384169 Reassigns benefits to 3 organizations
I20240327004171 DE Practitioner - Nurse Practitioner 7911384169 Reassigns benefits to 1 organization
I20240620002052 MD Practitioner - Nurse Practitioner 7911384169 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
MHP MD PLLCGroup PAC ID 6507258423, 45 clinicians

Practice addresses (Care Compare)

48 A E Ridge Pike
Conshohocken, PA 19428-2117
Phone (484) 243-6735

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0047019DEMDRegistered Nurse
R266210MDMDRegistered Nurse
LG-0011578DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Quality Partners CurrentSince Mar 18, 2024 Accepting new patients
Christiana Care Quality Partners CurrentSince Mar 18, 2024 Accepting new patients
Pennsylvania Urgent Care Centers, PLLC CurrentSince May 2, 2023 Accepting new patients
MHP MD PLLC CurrentSince Feb 1, 2025 Accepting new patients
Main Line Healthcare Nurse Practitioner CurrentSince Mar 21, 2022 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213

101 North East Plz
North East, MD 21901
Phone (410) 543-2020

780 N Krocks Rd
Ste 101B
Allentown, PA 18106
Phone (610) 365-3354

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

150 E Pennsylvania Ave
Ste 140
Downingtown, PA 19335
Phone (610) 518-1060

154 Exton Square Mall
Exton, PA 19341
Phone (484) 565-8500

180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047

510 E Gay St
West Chester, PA 19380
Phone (302) 235-8808

Interoperability endpoints

  • Direct secure messaging: devon.santucci@ghuccc.eclinicaldirectplus.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1558016154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GARDEN STATION RD",
            "city": "AVONDALE",
            "state": "PA",
            "postal_code": "193119366",
            "telephone_number": "610-955-7275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "154 Exton Square Mall",
            "address_purpose": "LOCATION",
            "city": "Exton",
            "state": "PA",
            "postal_code": "193412440",
            "country_code": "US",
            "telephone_number": "484-565-1293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "310 E Pulaski Hwy",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216435",
            "country_code": "US",
            "telephone_number": "443-485-6213",
            "fax_number": "443-485-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANTUCCI",
        "first_name": "DEVON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP022321",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011578",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0047019",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R266210",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0011578",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEVON",
            "last_name": "SHELLENBERGER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.