Individual provider Active NPI

Emma Gabrielle Klier, PA-C

  • Physician Assistant
  • Milton, DE
National Provider Identifier
1639991920
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0012191 Issued in DE
Practice address
23900 Milton Ellendale Hwy
Milton, DE 19968-2714
Phone
(302) 684-5635
Fax
(866) 546-6159
NPI assigned
Oct 28, 2024
Last updated
Dec 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X C5-0012191 DE Primary

Addresses

Primary practice location

23900 Milton Ellendale Hwy
Milton, DE 19968-2714

Mailing address

1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 645-3499

Other practice location 1

19161 Healthy Way Unit 100
Rehoboth Beach, DE 19971-4491
Phone (302) 645-3010

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
I20241230000202 DE Practitioner - Physician Assistant 1759818982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

19161 Healthy Way
Rehoboth Beach, DE 19971-4491
Phone (302) 645-3300

21635 Biden Ave
Georgetown, DE 19947-4574
Phone (302) 260-7360

21635 Biden Ave
Unit 101
Georgetown, DE 19947-4575
Phone (302) 645-3555

23900 Milton Ellendale Hwy
Milton, DE 19968-2714
Phone (302) 684-5635

28538 Dupont Blvd
Millsboro, DE 19966-4791
Phone (302) 934-0944

32550 Docs PL
Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0012191DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Medical Center, Inc. PastSince Dec 8, 2024 Accepting new patients

Organizations & group practices 2

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.

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": "1730073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1639991920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23900 MILTON ELLENDALE HWY",
            "city": "MILTON",
            "state": "DE",
            "postal_code": "199682714",
            "telephone_number": "302-684-5635",
            "fax_number": "866-546-6159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19161 Healthy Way Unit 100",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714491",
            "country_code": "US",
            "telephone_number": "302-645-3010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLIER",
        "first_name": "EMMA",
        "middle_name": "GABRIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-28",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0012191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, DE

Sources for this page

Verify at the official NPI Registry.