Individual provider Active NPI

Nicole L Baldwin

  • Family Nurse Practitioner
  • Bear, DE
National Provider Identifier
1679467526
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0013203 Issued in DE
Practice address
1993 Pulaski Hwy
Bear, DE 19701-1708
Phone
(302) 838-3100
NPI assigned
Jun 5, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 0013203 DE Primary

Addresses

Primary practice location

1993 Pulaski Hwy
Bear, DE 19701-1708

Mailing address

2142 Barr Rd
Wilmington, DE 19808-5328

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
I20250630000609 DE Practitioner - Nurse Practitioner 3274046636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Reliance Healthcare, LLCGroup PAC ID 0042583460, 7 clinicians

Practice addresses (Care Compare)

1993 Pulaski Hwy
Bear, DE 19701-1708
Phone (302) 838-3100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0013203DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Healthcare, LLC CurrentSince May 1, 2025 Accepting new patients
Relianceaco LLC CurrentSince Jul 26, 2025 Accepting new patients
Reliance Urgent Care LLC CurrentSince May 1, 2025 Accepting new patients

Locations

1993 Pulaski Hwy
Bear, DE 19701
Phone (302) 261-6676

1993 Pulaski Hwy
Ste C
Bear, DE 19701
Phone (302) 838-3100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1679467526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2142 BARR RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1993 PULASKI HWY",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197011708",
            "telephone_number": "302-838-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDWIN",
        "first_name": "NICOLE",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "0013203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

Verify at the official NPI Registry.