Individual provider Active NPI

Melissa Vanneerden, AGNP-C

  • Primary Care Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1629520119
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
LP-0000160 Issued in DE
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

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 1,480 clinicians

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 Hospital, Newark, DE, CCN 080001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0000160DEMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christianacare Virtual Health Practice PA CurrentSince Sep 11, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 11, 2019 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 19, 2019 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Mar 11, 2019 Accepting new patients
Christianacare Virtual Health Practice PA CurrentSince Jun 1, 2021 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

  • FHIR API: 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.

View all 30

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": "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

Verify at the official NPI Registry.