Active NPI
Bernard Nosanchuk, APN
- Psychiatric/Mental Health Nurse Practitioner
- Claymont, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- L8-0010446
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN.357-100-COA1 | OH | MD | Registered Nurse |
| COA.11347-NP | OH | MD | Nurse Practitioner |
| AP8015 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| L8-0010446 | DE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Behavioral Health, LLC | Current | Accepting new patients | |
| Premier Behavioral Health Services, LLC | Psychiatric/Mental Health | Past | 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
- 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.
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- Mentor, OH
- NPI 1922287382
-
- Clinical Psychologist
- Mentor, OH
- NPI 1184869786
Psychiatric/Mental Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.