Individual provider Active NPI

Marc A Exilus

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, DE
National Provider Identifier
1588149587
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010236 Issued in DE
Practice address
1423 Capitol TRL Ste 1110
Newark, DE 19711-5709
Phone
(302) 722-4740
Fax
(302) 722-4750
NPI assigned
Sep 26, 2018
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010236 DE Primary

Addresses

Primary practice location

1423 Capitol TRL Ste 1110
Newark, DE 19711-5709

Mailing address

1423 Capitol TRL Ste 1110
Newark, DE 19711-5709
Phone (302) 722-4740

Other practice location 1

5598 Kirkwood Hwy
Wilmington, DE 19808-5002
Phone (302) 636-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE, DC3 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
I20190422002402 PA Practitioner - Nurse Practitioner 9830431915 Reassigns benefits to 3 organizations
I20240812004149 DE Practitioner - Nurse Practitioner 9830431915 Reassigns benefits to 2 organizations
I20250131002975 DC Practitioner - Nurse Practitioner 9830431915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1423 Capitol TRL
Suite 1110
Newark, DE 19711-5709
Phone (302) 722-4740

502 W 7TH St
Suite 100
Erie, PA 16502-1333
Phone (302) 722-4740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L8-0010236DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aviva Mental Health Services Inc CurrentSince Apr 23, 2021 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 3, 2025 Accepting new patients
Dr Warren E Smith Community Mental Health Mental Retardation & Substan CurrentSince Apr 1, 2019 Accepting new patients
Alert Mind Mental Health Services LLC Psychiatric/Mental Health CurrentSince Jun 1, 2024 Accepting new patients
Alert Mind Psychiatry LLC Psychiatric/Mental Health PastSince Dec 24, 2023 Accepting new patients
Uhs of Rockford LLC Past Accepting new patients

Locations

1423 Capitol Trl
Ste 1110
Newark, DE 19711
Phone (302) 722-4740

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

14-20 Macdade Blvd
Ste A
Darby, PA 19023
Phone (610) 522-4506

502 W 7th St
Ste 100
Erie, PA 16502
Phone (215) 258-4243

1315 Windrim Ave
Philadelphia, PA 19141
Phone (215) 455-3900

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1588149587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRL STE 1110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115709",
            "telephone_number": "302-722-4740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CAPITOL TRL STE 1110",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115709",
            "telephone_number": "302-722-4740",
            "fax_number": "302-722-4750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5598 Kirkwood Hwy",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198085002",
            "country_code": "US",
            "telephone_number": "302-636-1110",
            "fax_number": "302-636-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EXILUS",
        "first_name": "MARC",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-26",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.