Individual provider Active NPI

Valerie Anne Harrison, APRN DNP

  • Family Nurse Practitioner
  • Bridgeville, DE
National Provider Identifier
1619230778
Registry record updated Dec 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0000582 Issued in DE
Practice address
18119 Sussex Hwy Unit 1
Bridgeville, DE 19933-4095
Phone
(302) 956-6986
Fax
(302) 956-6406
NPI assigned
Jun 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2020

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 LG-0000582 DE Primary

Addresses

Primary practice location

18119 Sussex Hwy Unit 1
Bridgeville, DE 19933-4095

Mailing address

18119 Sussex Hwy Unit 1
Bridgeville, DE 19933-4095
Phone (302) 956-6986

Other identifiers 1

IdentifierTypeStateIssuer
200107873MedicaidDE

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
I20120919000223 DE Practitioner - Nurse Practitioner 8729236633 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18119 Sussex Hwy
Unit 1
Bridgeville, DE 19933-4095
Phone (302) 228-5128

Hospital & facility affiliations

  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harrison Family Practice Inc CurrentSince Oct 1, 2018 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Jan 3, 2014 Accepting new patients
Fellowship Health Resources, Inc CurrentSince Jun 30, 2012 Accepting new patients

Locations

18119 Sussex Hwy
Unit 1
Bridgeville, DE 19933
Phone (302) 228-5128

505 W Market St
Ste 110
Georgetown, DE 19947
Phone (302) 628-4121

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

24 Albion Rd
Ste 420
Lincoln, RI 02865
Phone (401) 333-3980

Organizations & group practices 3

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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609027200000",
    "number": "1619230778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18119 SUSSEX HWY UNIT 1",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199334095",
            "telephone_number": "302-956-6986",
            "fax_number": "302-956-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18119 SUSSEX HWY UNIT 1",
            "city": "BRIDGEVILLE",
            "state": "DE",
            "postal_code": "199334095",
            "telephone_number": "302-956-6986",
            "fax_number": "302-956-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "VALERIE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "APRN DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-22",
        "last_updated": "2020-12-27",
        "certification_date": "2020-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200107873",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, DE

Sources for this page

Verify at the official NPI Registry.