Individual provider Active NPI

Genevieve M. Minick, M.D.

  • Family Medicine Physician
  • Hockessin, DE
National Provider Identifier
1558333500
Registry record updated Apr 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0025386 Issued in DE
Practice address
722 Yorklyn Rd Ste 400
Hockessin, DE 19707-8740
Phone
(302) 235-2351
NPI assigned
Feb 3, 2006
Last updated
Apr 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD418976 PA
Family Medicine Physician 207Q00000X C1-0025386 DE Primary

Addresses

Primary practice location

722 Yorklyn Rd Ste 400
Hockessin, DE 19707-8740

Mailing address

4000 Nexus Dr Ste E3
Wilmington, DE 19803-3000

Other practice location 1

1260 E Woodland Ave
Suite 200
Springfield, PA 19064-3969
Phone (610) 690-4490

Other identifiers 5

IdentifierTypeStateIssuer
P00010730OtherPARR MEDICARE PIN
0019460030001MedicaidPA
0237124MedicaidNY
CC9269OtherPARR MEDICARE GROUP
GU039851OtherPAPA MEDICARE GROUP

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070416000109 PA Practitioner - Family Practice 6901901297 Reassigns benefits to 1 organization
I20220927003159 DE Practitioner - Family Practice 6901901297 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD418976PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Family Medicine CurrentSince Sep 15, 2022 Accepting new patients
Prospect Health Access Network, Inc. Family Medicine CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Jul 1, 2016 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 15, 2022 Accepting new patients

Locations

722 Yorklyn Rd
Ste 400
Hockessin, DE 19707
Phone (302) 235-2351

726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770

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

4000 Nexus Dr
Ste E3
Wilmington, DE 19803

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

176 S New Middletown Rd
Media, PA 19063
Phone (610) 627-3690

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

1260 E Woodland Ave
Ste 200
Springfield, PA 19064
Phone (610) 690-4471

Interoperability endpoints

  • Direct secure messaging: genevieve.minick@chpm.cernerdirect.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, 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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1558333500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 NEXUS DR STE E3",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 YORKLYN RD STE 400",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078740",
            "telephone_number": "302-235-2351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1260 E Woodland Ave",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "PA",
            "postal_code": "190643969",
            "country_code": "US",
            "telephone_number": "610-690-4490",
            "fax_number": "610-328-9391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINICK",
        "first_name": "GENEVIEVE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD418976",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0025386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00010730",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019460030001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237124",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC9269",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICARE GROUP",
            "identifier": "GU039851",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hockessin, DE

Sources for this page

Verify at the official NPI Registry.