Individual provider Active NPI

Melissa Wiley, CRNP-F

  • Family Nurse Practitioner
  • Millsboro, DE
National Provider Identifier
1609522556
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R197824 Issued in MD
Practice address
30265 Commerce Dr Unit 104
Millsboro, DE 19966-3594
Phone
(302) 629-4787
Fax
(410) 860-9583
NPI assigned
Mar 1, 2022
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R197824 MD Primary

Addresses

Primary practice location

30265 Commerce Dr Unit 104
Millsboro, DE 19966-3594

Mailing address

PO Box 69709
Baltimore, MD 21264-9709
Phone (410) 341-3420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220310002919 MD Practitioner - Nurse Practitioner 0749675650 Reassigns benefits to 2 organizations
I20240502001421 DE Practitioner - Nurse Practitioner 0749675650 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Peninsula Orthopaedic Assoc PAGroup PAC ID 6406844406, shared by 6 NPIs, 56 clinicians
Coras Wellness and Behavioral Health LLCGroup PAC ID 1456741248, 14 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

11107 Cathage Rd
Unit 101
Berlin, MD 21811-2155
Phone (410) 749-4154

1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 749-4154

30265 Commerce Dr
Unit 104
Millsboro, DE 19966-3594
Phone (410) 749-4154

315 Old Landing Rd
Millsboro, DE 19966-1210
Phone (833) 886-2277

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R197824MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coras Wellness and Behavioral Health, LLC CurrentSince Oct 1, 2024 Accepting new patients
Peninsula Orthopaedic Assoc., PA CurrentSince May 1, 2024 Accepting new patients
Peninsula Orthopaedic Assoc, PA Family CurrentSince May 1, 2024 Accepting new patients
Peninsula Orthopaedic Assoc PA CurrentSince May 1, 2024 Accepting new patients
Connections Community Support Programs, Inc. Past Accepting new patients

Locations

1114 S DuPont Hwy
Dover, DE 19901
Phone 3026729360 ext. 4617

5 East St
Harrington, DE 19952

30265 Commerce Dr
Unit 104
Millsboro, DE 19966
Phone (302) 629-4787

315 Old Landing Rd
Millsboro, DE 19966
Phone (302) 353-0762

11107 Cathage Rd
Unit 101
Ocean Pines, MD 21811
Phone (410) 641-0202

1675 Woodbrooke Dr
Salisbury, MD 21804
Phone (410) 860-4514

Interoperability endpoints

  • Direct secure messaging: melissa.wiley.1@8254.direct.athenahealth.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.

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1609522556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69709",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212649709",
            "telephone_number": "410-341-3420",
            "fax_number": "410-341-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR UNIT 104",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663594",
            "telephone_number": "302-629-4787",
            "fax_number": "410-860-9583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILEY",
        "first_name": "MELISSA",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R197824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.