Active NPI
Vera Kishta, NP
- Family Nurse Practitioner
- Newark, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0012561
- Practice address
- 4755 Ogletown Stanton Rd Ste 1900
Newark, DE 19718-2200 - Phone
- (302) 733-6510
- Fax
- (302) 733-3340
- NPI assigned
- Nov 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP028210 | PA | |
| Registered Nurse | 163W00000X | L1-0066773 | DE | |
| Family Nurse Practitioner | 363LF0000X | LG-0012561 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Rd Ste 1900
Newark, DE 19718-2200
Mailing address
128 Meadowbrook LN
Brookhaven, PA 19015-2813
Phone (610) 247-0441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240215002664 | DE | Practitioner - Nurse Practitioner | 6709220916 | Reassigns benefits to 1 organization |
| I20250910000419 | PA | Practitioner - Nurse Practitioner | 6709220916 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christiana Care Health Services Inc
Practice addresses (Care Compare)
4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-6662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0066773 | DE | MD | Registered Nurse |
| LG-0012561 | DE | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Pennsylvania Inc | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Past | Accepting new patients |
Locations
4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510
4755 Ogletown Stanton Rd
#1900
Newark, DE 19718
4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700
4755 Ogletown Stanton Rd
Ste 1900
Newark, DE 19718
Phone (302) 733-6510
1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440
161 Wilmington W Chester Pike
Ste 1200
Chadds Ford, PA 19317
Phone (610) 361-1085
161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060
900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088
Organizations & group practices 31
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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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1689440976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 MEADOWBROOK LN",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190152813",
"telephone_number": "610-247-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON RD STE 1900",
"city": "NEWARK",
"state": "DE",
"postal_code": "197182200",
"telephone_number": "302-733-6510",
"fax_number": "302-733-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISHTA",
"first_name": "VERA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP028210",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0066773",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0012561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.