Individual provider Active NPI

Brenda Johnson, CRNP

  • Family Nurse Practitioner
  • Dover, DE
National Provider Identifier
1659844199
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001235 Issued in DE
Practice address
200 Banning St Ste 280
Dover, DE 19904-3489
Phone
(302) 866-2494
Fax
(302) 487-1167
NPI assigned
Jan 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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-0001235 DE Primary

Addresses

Primary practice location

200 Banning St Ste 280
Dover, DE 19904-3489

Mailing address

PO Box 67536
Newark, NJ 07101-8009
Phone (302) 866-2494

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
I20210728002565 DE Practitioner - Nurse Practitioner 8820491806 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nutrihealth LLCGroup PAC ID 9537597919, 29 clinicians
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

20930 Dupont Blvd
Unit 202
Georgetown, DE 19947-1724
Phone (302) 856-3737

800 N Dupont Blvd
Walkin Medical Care
Milford, DE 19963-1019
Phone (302) 430-5705

Hospital & facility affiliations

  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Mar 9, 2026 Accepting new patients
Bayhealth Medical Center, Inc. CurrentSince Mar 9, 2026 Accepting new patients

Locations

665 S Bay Rd
Unit C
Dover, DE 19901
Phone (302) 672-2319

800 N DuPont Blvd
Milford, DE 19963
Phone (302) 422-3000

Organizations & group practices 3

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 2

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1659844199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 67536",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071018009",
            "telephone_number": "302-866-2494",
            "fax_number": "302-487-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST STE 280",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043489",
            "telephone_number": "302-866-2494",
            "fax_number": "302-487-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRENDA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.