Individual provider Active NPI

Boris Emilio Cordova-Canas, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Oxford, PA
National Provider Identifier
1689340952
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011685 Issued in DE
Practice address
14 S 3Rd St
Oxford, PA 19363-1601
Phone
(610) 444-7550
NPI assigned
Aug 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0011685 DE
Family Nurse Practitioner 363LF0000X LG-0011685 DE Primary
Registered Nurse 163W00000X RN650484 PA

Addresses

Primary practice location

14 S 3Rd St
Oxford, PA 19363-1601

Mailing address

2305 Concord Pike
Wilmington, DE 19803-2911
Phone (302) 467-3588

Other practice location 1

2305 Concord Pike
Wilmington, DE 19803-2911
Phone (302) 467-3588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211220000751 DE Practitioner - Nurse Practitioner 0547651960 Reassigns benefits to 1 organization
I20221207003049 PA Practitioner - Nurse Practitioner 0547651960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCH Health and Community ServicesGroup PAC ID 2466406574, 15 clinicians
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

14 S 3Rd St
Oxford, PA 19363-1601
Phone (610) 444-7550

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

Hospital & facility affiliations

  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN650484PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Quality Partners CurrentSince Oct 13, 2025 Accepting new patients
LCH Health and Community Services CurrentSince Nov 1, 2022 Accepting new patients
LCH Health and Community Services Current Accepting new patients
LCH Health and Community Services CurrentSince Nov 1, 2022 Accepting new patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients

Locations

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595

2305 Concord Pike
Wilmington, DE 19803
Phone (302) 467-3588

5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780

731 W Cypress St
Kennett Square, PA 19348
Phone (610) 444-7550

14 S 3rd St
Oxford, PA 19363
Phone (610) 444-7550

105 Vineyard Way
Ste 103
West Grove, PA 19390
Phone (610) 444-7550

105 Vineyard Way
Ste 200
West Grove, PA 19390
Phone (610) 345-0020

Interoperability endpoints

  • Direct secure messaging: boris.cordova.canas.1@27280.direct.athenahealth.com

Organizations & group practices 5

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1689340952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CONCORD PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032911",
            "telephone_number": "302-467-3588",
            "fax_number": "302-467-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S 3RD ST",
            "city": "OXFORD",
            "state": "PA",
            "postal_code": "193631601",
            "telephone_number": "610-444-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 CONCORD PIKE",
            "address_purpose": "LOCATION",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032911",
            "country_code": "US",
            "telephone_number": "302-467-3588",
            "fax_number": "302-467-3574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA-CANAS",
        "first_name": "BORIS",
        "middle_name": "EMILIO",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-18",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0011685",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011685",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN650484",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, PA

Sources for this page

Verify at the official NPI Registry.