Individual provider Active NPI

Karen Ellis-Brisbon, MSN APRN FNP-BC

  • Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1578073292
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0001077 Issued in DE
Practice address
239 Christiana Rd
New Castle, DE 19720-2907
Phone
(302) 327-7630
NPI assigned
Oct 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0001077 DE Primary

Addresses

Primary practice location

239 Christiana Rd
New Castle, DE 19720-2907

Mailing address

38 Willow Creek LN
Newark, DE 19711-3422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20171208000446 DE Practitioner - Nurse Practitioner 0547527095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

239 Christiana Rd
New Castle, DE 19720-2907
Phone (302) 327-7630

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Mar 1, 2020 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christianacare Virtual Health Practice PA Nurse Practitioner CurrentSince Jun 1, 2021 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 8, 2017 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner CurrentSince Oct 8, 2017 Accepting new patients
Christianacare Virtual Health Practice PA CurrentSince Sep 11, 2022 Accepting new patients

Locations

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

239 Christiana Rd
Ofc
New Castle, DE 19720
Phone (302) 327-7630

239 Christiana Rd
New Castle, DE 19720
Phone (302) 322-0860

4000 Nexus Dr
Ste NE3100
Wilmington, DE 19803
Phone (302) 320-9771

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

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

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 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": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510012800000",
    "number": "1578073292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WILLOW CREEK LN",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197113422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 CHRISTIANA RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197202907",
            "telephone_number": "302-327-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIS-BRISBON",
        "first_name": "KAREN",
        "credential": "MSN APRN FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-08",
        "last_updated": "2017-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.