Individual provider Active NPI

Bernard Nosanchuk, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Claymont, DE
National Provider Identifier
1679709505
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010446 Issued in DE
Practice address
650 Naamans Rd Ste 110
Claymont, DE 19703-2301
Phone
(302) 224-1400
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.357-100-COA1 OH
Psychiatric/Mental Health Registered Nurse 163WP0808X AP8015 AZ
Nurse Practitioner 363L00000X COA.11347-NP OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8015 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010446 DE Primary

Addresses

Primary practice location

650 Naamans Rd Ste 110
Claymont, DE 19703-2301

Mailing address

650 Naamans Rd Ste 110
Claymont, DE 19703-2301
Phone (302) 224-1400

Other practice location 1

3227 E Bell Rd
Suite 170
Phoenix, AZ 85032-2700
Phone (602) 652-3500

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
I20230807002625 DE Practitioner - Nurse Practitioner 4183776933 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mid-Atlantic Behavioral Health, LLCGroup PAC ID 3375620016, 88 clinicians

Practice addresses (Care Compare)

650 Naamans Rd
Suite 110
Claymont, DE 19703-2301
Phone (302) 224-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.357-100-COA1OHMDRegistered Nurse
COA.11347-NPOHMDNurse Practitioner
AP8015AZMDPsychiatric/Mental Health Nurse Practitioner
L8-0010446DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Atlantic Behavioral Health, LLC CurrentSince Sep 25, 2023 Accepting new patients
Premier Behavioral Health Services, LLC Psychiatric/Mental Health PastSince Dec 18, 2008 Accepting new patients
Advanced Behavioral Health Nurse Practitioner Past Accepting new patients
B. Sharif MD, Inc Past Accepting new patients

Locations

650 Naamans Rd
Ste 110
Claymont, DE 19703
Phone (302) 217-3884

910 S Chapel St
Ste 102
Newark, DE 19713
Phone 3022241400 ext. 614

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.bernardnosanchuk@148542.advancedmd-direct.com

Organizations & group practices 4

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1679709505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 NAAMANS RD STE 110",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032301",
            "telephone_number": "302-224-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 NAAMANS RD STE 110",
            "city": "CLAYMONT",
            "state": "DE",
            "postal_code": "197032301",
            "telephone_number": "302-224-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3227 E Bell Rd",
            "address_2": "Suite 170",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322700",
            "country_code": "US",
            "telephone_number": "602-652-3500",
            "fax_number": "602-652-3582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOSANCHUK",
        "first_name": "BERNARD",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.357-100-COA1",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8015",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.11347-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8015",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claymont, DE

Sources for this page

Verify at the official NPI Registry.