Individual provider Active NPI

Vera Kishta, NP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1689440976
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012561 Issued in DE
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

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, 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
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 IncGroup PAC ID 9739097569, 1,480 clinicians

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

LicenseStateTypeSpecialty
L1-0066773DEMDRegistered Nurse
LG-0012561DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Feb 2, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Feb 2, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Pennsylvania Inc Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Aug 26, 2025 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Aug 26, 2025 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.

View all 31

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

Verify at the official NPI Registry.