Individual provider Active NPI

Anita L Tyndall, FNP-C

  • Family Nurse Practitioner
  • Millsboro, DE
National Provider Identifier
1649870627
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011513 Issued in DE
Practice address
28467 Dupont Blvd Unit 6
Millsboro, DE 19966-3749
Phone
(302) 272-9738
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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-0011513 DE Primary

Addresses

Primary practice location

28467 Dupont Blvd Unit 6
Millsboro, DE 19966-3749

Mailing address

28467 Dupont Blvd Unit 6
Millsboro, DE 19966-3749
Phone (302) 841-4728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD, DC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210518002201 DE Practitioner - Nurse Practitioner 7214336510 Reassigns benefits to 2 organizations
I20220408002270 MD Practitioner - Nurse Practitioner 7214336510 Reassigns benefits to 5 organizations
I20220408002348 DC Practitioner - Nurse Practitioner 7214336510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kinetic Primary CareGroup PAC ID 5294192779, 9 clinicians

Practice addresses (Care Compare)

30 N PL
Frederick, MD 21701-6200
Phone (804) 742-2613

Merit-based Incentive Payment System (MIPS)

Final score
98.96 of 100Reported as group
Quality
95.33
Improvement activities
40
Cost
69.43

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0011513DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince Apr 23, 2024 Accepting new patients
Medical Maryland Star Choice LLC CurrentSince Jan 1, 2023 Accepting new patients
Psychogeriatric Services LLC CurrentSince Mar 21, 2022 Accepting new patients
Saltwater Integrative Wellness, LLC CurrentSince Mar 10, 2025 Accepting new patients
Coastal Care & Dermatology, LLC CurrentSince Jan 1, 2025 Accepting new patients
Shore-Bayy Hospitalists Associates CurrentSince Jul 8, 2022 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince Apr 23, 2024 Accepting new patients
Kinetic Primary Care CurrentSince Mar 31, 2025 Accepting new patients
Bayhealth Medical Center, Inc PastSince Nov 1, 2020 Accepting new patients
Shore Hospitalists Associates P.a. Past Accepting new patients

Locations

28467 DuPont Blvd
Unit 6
Millsboro, DE 19966
Phone (302) 317-2690

5999 Harpers Farm Rd
Ste W230
Columbia, MD 21044
Phone (347) 294-5166

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

219 S Washington St
Easton, MD 21601

30 North Pl
Frederick, MD 21701
Phone (301) 695-6618

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

4101 Old National Pike
Mount Airy, MD 21771
Phone (301) 829-0800

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

Organizations & group practices 11

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": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1649870627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28467 DUPONT BLVD UNIT 6",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663749",
            "telephone_number": "302-841-4728",
            "fax_number": "866-371-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28467 DUPONT BLVD UNIT 6",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663749",
            "telephone_number": "302-272-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYNDALL",
        "first_name": "ANITA",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.