Individual provider Active NPI

Christina Minissale

  • Pediatric Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1629709050
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
LJ-0010514 Issued in DE
Practice address
18068 Coastal Hwy
Lewes, DE 19958-4901
Phone
(302) 567-1500
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X 207PP0204X PA
Pediatric Nurse Practitioner 363LP0200X LJ-0010514 DE Primary

Addresses

Primary practice location

18068 Coastal Hwy
Lewes, DE 19958-4901

Mailing address

502 Lee Ann Rd
Cherry Hill, NJ 08034-1338
Phone (215) 622-7143

Other practice location 1

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (215) 590-1000

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
I20251205000475 DE Practitioner - Nurse Practitioner 3678066826 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18068 Coastal Hwy
Lewes, DE 19958

2000 Cliffmine Rd
Pittsburgh, PA 15275-1008

424 Savannah Rd
Lewes, DE 19958-1490

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207PP0204XPAMDPediatric Emergency Medicine (Emergency Medicine) Physician
LJ-0010514DEMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspira Health CurrentSince Sep 8, 2025 Accepting new patients

Locations

18068 Coastal Hwy
Lewes, DE 19958
Phone (302) 567-1500

Interoperability endpoints

  • Direct secure messaging: christina.minissale.1@22424.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1629709050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 LEE ANN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341338",
            "telephone_number": "215-622-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18068 COASTAL HWY",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584901",
            "telephone_number": "302-567-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Civic Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044319",
            "country_code": "US",
            "telephone_number": "215-590-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINISSALE",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "PA",
            "license": "207PP0204X",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "DE",
            "license": "LJ-0010514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.