Individual provider Active NPI

Mleanen Marcia Gilman, NP-C

  • Family Nurse Practitioner
  • Elkton, MD
National Provider Identifier
1568128890
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011814 Issued in DE
Practice address
677 E Pulaski Hwy
Elkton, MD 21921-6037
Phone
(302) 595-3670
NPI assigned
Nov 10, 2021
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SPO24714 PA
Family Nurse Practitioner 363LF0000X AC004580 MD
Family Nurse Practitioner 363LF0000X LG-0011814 DE Primary

Addresses

Primary practice location

677 E Pulaski Hwy
Elkton, MD 21921-6037

Mailing address

141 Edgar Rd
Townsend, DE 19734-2417
Phone (302) 464-9757

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
I20230213000673 PA Practitioner - Nurse Practitioner 5799157178 Reassigns benefits to 3 organizations
I20240927000869 DE Practitioner - Nurse Practitioner 5799157178 Reassigns benefits to 3 organizations
I20241029001796 MD Practitioner - Nurse Practitioner 5799157178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Docs PCGroup PAC ID 0547626871, 181 clinicians

Practice addresses (Care Compare)

1 Price Dr
Elkton, MD 21921-6731
Phone (609) 585-1122

1101 Gilpin Ave
Wilmington, DE 19806-3214
Phone (609) 585-1122

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0011814DEMDFamily Nurse Practitioner
SPO24714PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
First Docs PC CurrentSince Sep 30, 2024 Accepting new patients
Pottstown Clinic Company LLC CurrentSince Feb 1, 2023 Accepting new patients
Signify Health, LLC CurrentSince Oct 18, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 18, 2024 Accepting new patients

Locations

889 S Little Creek Rd
Dover, DE 19901
Phone (302) 674-0566

1101 Gilpin Ave
Wilmington, DE 19806
Phone (302) 654-4486

1209 N Orange St
Wilmington, DE 19801
Phone (800) 875-1575

5651 Limestone Rd
Wilmington, DE 19808
Phone (302) 239-8583

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

730 S Hanover St
Pottstown, PA 19465
Phone (610) 323-6835

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

Hospital & facility affiliations 2

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1568128890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 EDGAR RD",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197342417",
            "telephone_number": "302-464-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E PULASKI HWY",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216037",
            "telephone_number": "302-595-3670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMAN",
        "first_name": "MLEANEN",
        "middle_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-11-28",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SPO24714",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC004580",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.