Individual provider Active NPI

Oluwadamilare Shoneye, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Castle, DE
National Provider Identifier
1659009231
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010347 Issued in DE
Practice address
1 Pleasant PL
New Castle, DE 19720-3005
Phone
(302) 499-4100
Fax
(916) 330-3218
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010347 DE Primary

Addresses

Primary practice location

1 Pleasant PL
New Castle, DE 19720-3005

Mailing address

1 Pleasant PL
New Castle, DE 19720-3005
Phone (302) 499-4100

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
I20230614003920 DE Practitioner - Nurse Practitioner 6002274586 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JDJ Medical LLCGroup PAC ID 4385912963, 2 clinicians

Practice addresses (Care Compare)

314 E Main St
Suite 403
Newark, DE 19711-7182
Phone (302) 983-2646

600 N Broad St
Suite 5
Middletown, DE 19709-1032
Phone (302) 499-4100

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010347DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marquee Health Services CurrentSince Jul 9, 2023 Accepting new patients
JDJ Medical LLC Psychiatric/Mental Health CurrentSince May 1, 2023 Accepting new patients

Locations

600 N Broad St
Ste 5
Middletown, DE 19709
Phone (302) 219-3793

314 E Main St
Ste 403
Newark, DE 19711
Phone (302) 369-3533

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 and National Provider Directory roles.

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1659009231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PLEASANT PL",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203005",
            "telephone_number": "302-499-4100",
            "fax_number": "916-330-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PLEASANT PL",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197203005",
            "telephone_number": "302-499-4100",
            "fax_number": "916-330-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHONEYE",
        "first_name": "OLUWADAMILARE",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, DE

Sources for this page

Verify at the official NPI Registry.