Individual provider Active NPI

Evelyn Crump, NP

  • Family Nurse Practitioner
  • Milford, DE
National Provider Identifier
1609922533
Registry record updated Jul 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000398 Issued in DE
Practice address
119 Neurology Way
Milford, DE 19963-0000
Phone
(302) 424-3900
Fax
(302) 424-4189
NPI assigned
Jan 25, 2007
Last updated
Jul 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0000398 DE Primary
Women's Health Nurse Practitioner 363LW0102X LH-0000127 DE

Addresses

Primary practice location

119 Neurology Way
Milford, DE 19963-0000

Mailing address

301 Jefferson Ave
Walk in Medical Care
Milford, DE 19963-1800
Phone (302) 672-2319

Other identifiers 1

IdentifierTypeStateIssuer
1609922533MedicaidDE

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
I20071221000393 DE Practitioner - Nurse Practitioner 0648360016 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LH-0000127DEMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc. CurrentSince Jun 14, 2017 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Jun 14, 2017 Accepting new patients
Delmarva Rural Ministries, Inc. Past Accepting new patients
Barnes Family Practice Past Accepting new patients
Cnmri Past Accepting new patients

Locations

301 Jefferson Ave
Milford, DE 19963
Phone (302) 430-5705

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499990400000",
    "number": "1609922533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 JEFFERSON AVE",
            "address_2": "WALK IN MEDICAL CARE",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631800",
            "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": "119 NEUROLOGY WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199630000",
            "telephone_number": "302-424-3900",
            "fax_number": "302-424-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUMP",
        "first_name": "EVELYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2017-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000398",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "DE",
            "license": "LH-0000127",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609922533",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.