Active NPI
Melissa Vanneerden, AGNP-C
- Primary Care Nurse Practitioner
- New Castle, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- LP-0000160
- Practice address
- 239 Christiana Rd
New Castle, DE 19720-2907 - Phone
- (302) 327-7630
- NPI assigned
- Oct 31, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | LP-0000160 | DE | |
| Gerontology Nurse Practitioner | 363LG0600X | LP-0000160 | DE | |
| Primary Care Nurse Practitioner | 363LP2300X | LP-0000160 | DE | Primary |
Addresses
Primary practice location
239 Christiana Rd
New Castle, DE 19720-2907
Mailing address
1213 Churchmans Rd
Newark, DE 19713-2149
Phone (302) 894-1411
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170227001594 | DE | Practitioner - Nurse Practitioner | 4789968371 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
239 Christiana Rd
New Castle, DE 19720-2907
Phone (302) 327-7630
501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 320-4410
Hospital & facility affiliations
- Christiana Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP-0000160 | DE | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christianacare Virtual Health Practice PA | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christianacare Virtual Health Practice PA | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
726 Yorklyn Rd
Ste 100
Hockessin, DE 19707
Phone (302) 234-5770
239 Christiana Rd
Ofc
New Castle, DE 19720
Phone (302) 327-7630
239 Christiana Rd
New Castle, DE 19720
Phone (302) 322-0860
4000 Nexus Dr
Ste NE3100
Wilmington, DE 19803
Phone (302) 320-9771
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411
4000 Nexus Dr
#3100
Wilmington, DE 19803
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
Organizations & group practices 30
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.
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-
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-
- Community/Retail Pharmacy
- Wilmington, DE
- NPI 1639219082
-
- Geriatric Medicine (Family Medicine) Physician
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- NPI 1659578425
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, DE
- NPI 1134194038
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554163200000",
"number": "1629520119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 CHURCHMANS RD",
"city": "NEWARK",
"state": "DE",
"postal_code": "197132149",
"telephone_number": "302-894-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 CHRISTIANA RD",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197202907",
"telephone_number": "302-327-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNEERDEN",
"first_name": "MELISSA",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-31",
"last_updated": "2019-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "DE",
"license": "LP-0000160",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "DE",
"license": "LP-0000160",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "DE",
"license": "LP-0000160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.