Individual provider Active NPI

Ellen Minerva, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1679545677
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD479339 Issued in PA
Practice address
501 W 14TH St Ste 1E40
Wilmington, DE 19801-1013
Phone
(302) 320-2100
Fax
(302) 320-2121
NPI assigned
Feb 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD20357 DC
Psychiatry Physician 2084P0800X 15545 NH
Psychiatry Physician 2084P0800X C1-0025864 DE
Psychiatry Physician 2084P0800X MD479339 PA Primary

Addresses

Primary practice location

501 W 14TH St Ste 1E40
Wilmington, DE 19801-1013

Mailing address

PO Box 2032
Concord, NH 03302-2032

Other practice location 1

250 Pleasant St
Concord, NH 03301-7539
Phone (603) 225-2711

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230321000350 PA Practitioner - Psychiatry 9739103854 Reassigns benefits to 2 organizations
I20230321000572 DE Practitioner - Psychiatry 9739103854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

161 Wilmington W Chester Pike
Suite 2300
Chadds Ford, PA 19317-9041
Phone (302) 320-2100

161 Wilmington-West Chester Pike
CCHS Concord Psychiatry
Chadds Ford, PA 19317-9041
Phone (302) 320-2100

501 W 14TH St Wilmington Hospital
CCHS Psychiatry
Wilmington, DE 19801-1013
Phone (302) 428-4410

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20357DCMDPsychiatry Physician
C1-0025864DEMDPsychiatry Physician
15545NHMDPsychiatry Physician
MD479339PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 7, 2023 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince May 6, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince May 6, 2025 Accepting new patients
Christiana Care Pennsylvania Inc Current Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services, Inc Psychiatry CurrentSince Mar 7, 2023 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 7, 2023 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

501 W 14th St
Ste 1E40
Wilmington, DE 19801
Phone (302) 320-2100

161 Wilmington W Chester Pike
Ste 2300
Chadds Ford, PA 19317
Phone (302) 320-2100

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/

Organizations & group practices 10

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1679545677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2032",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033022032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST STE 1E40",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-320-2100",
            "fax_number": "302-320-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Pleasant St",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NH",
            "postal_code": "033017539",
            "country_code": "US",
            "telephone_number": "603-225-2711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINERVA",
        "first_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD20357",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "15545",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C1-0025864",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD479339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.