Individual provider Active NPI

Annmarie Fenton-Kowrach, NP-C

  • Nurse Practitioner
  • Dover, DE
National Provider Identifier
1609219286
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000656 Issued in DE
Practice address
665 Bay Road, Unit C
Dover, DE 19963
Phone
(302) 678-1303
Fax
(302) 430-5679
NPI assigned
Apr 12, 2013
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0000656 DE Primary
Family Health Clinical Nurse Specialist 364SF0001X LG-0000656 DE
Occupational Health Clinical Nurse Specialist 364SX0106X LG-0000656 DE

Addresses

Primary practice location

665 Bay Road, Unit C
Dover, DE 19963

Mailing address

665 S Bay Road
Unit C
Dover, DE 19901
Phone (302) 672-2319

Other practice location 1

283 N DuPont Hwy
Dover, DE 19901-7532
Phone (302) 857-3860

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
I20140214000993 DE Practitioner - Nurse Practitioner 6103055140 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians

Practice addresses (Care Compare)

640 S State St
Dover, DE 19901-3530
Phone (302) 744-7156

800 N Dupont Blvd
Walkin Medical Care
Milford, DE 19963-1019
Phone (302) 430-5705

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000656DEMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Emergency Physicians LLC CurrentSince Mar 28, 2018 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Jan 6, 2024 Accepting new patients
Apogee Medical Group, Delaware, Inc CurrentSince Nov 10, 2013 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Mar 28, 2018 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Mar 28, 2018 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

665 S Bay Rd
Unit C
Dover, DE 19901
Phone (302) 672-2319

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

21 W Clarke Ave
Ste 1001
Milford, DE 19963
Phone (302) 855-1223

800 N DuPont Blvd
Milford, DE 19963
Phone (302) 422-3000

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 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": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1609219286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S BAY ROAD",
            "address_2": "UNIT C",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19901",
            "telephone_number": "302-672-2319",
            "fax_number": "302-672-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 BAY ROAD, UNIT C",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "19963",
            "telephone_number": "302-678-1303",
            "fax_number": "302-430-5679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "283 N DuPont Hwy",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199017532",
            "country_code": "US",
            "telephone_number": "302-857-3860",
            "fax_number": "302-857-3861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FENTON-KOWRACH",
        "first_name": "ANNMARIE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000656",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "DE",
            "license": "LG-0000656",
            "primary": false
        },
        {
            "code": "364SX0106X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Occupational Health",
            "state": "DE",
            "license": "LG-0000656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.