Beacon Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BEACON PEDIATRICS LLC

Doing business as

Beacon Wellness

Practice address

18947 John J Williams Hwy
Suite 212
Rehoboth Beach, DE 19971-4474

Phone

(302) 645-8212

Fax

(302) 645-2199

NPI assigned

Oct 11, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nancy M Gideon, MDNPI 1609871797

Title

MD/Practice Owner

Phone

(302) 645-8212

Specialties & licenses 3

Addresses

Other names 1

• Beacon Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14827/brand/1/csg/1/fhir/r4

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy M Gideon, MD

  • Pediatrics Physician
  • Rehoboth Beach, DE
  • NPI 1609871797
  NPD Authorized official
• Lauren Elizabeth Arini, CPNP

  • Pediatric Nurse Practitioner
  • Millville, DE
  • NPI 1275032088

  Pediatrics

  NPD (past)
• Elizabeth Lynn Baldwin, CRNP

  • Pediatric Nurse Practitioner
  • Rehoboth Beach, DE
  • NPI 1669572442

  Pediatrics

  NPD (past)
• Jeffrey J Boxer, MD

  • Pediatrics Physician
  • Rehoboth Beach, DE
  • NPI 1659353217
  NPD (past)
• Erin Fletcher, DO

  • Pediatrics Physician
  • Rehoboth Beach, DE
  • NPI 1538307038
  NPD (past)
• Stacey G. Fox, MD

  • Pediatrics Physician
  • Rehoboth Beach, DE
  • NPI 1417083940
  NPD (past)
• Wendy L. Gatto, CPNP

  • Pediatric Nurse Practitioner
  • Rehoboth Beach, DE
  • NPI 1346344520

  Pediatrics

  NPD (past)
• Meredith Ann Luckenbaugh, M.D.

  • Pediatrics Physician
  • Rehoboth Beach, DE
  • NPI 1649569187
  NPD (past)
• Addison Marie Plume, PA-C

  • Physician Assistant
  • Rehoboth Beach, DE
  • NPI 1992694681
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1689959538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "address_2": "SUITE 212",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714474",
            "telephone_number": "302-645-8212",
            "fax_number": "302-645-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18947 JOHN J WILLIAMS HWY",
            "address_2": "SUITE 212",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199714474",
            "telephone_number": "302-645-8212",
            "fax_number": "302-645-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32566 Docs Pl Unit 1",
            "address_purpose": "LOCATION",
            "city": "Millville",
            "state": "DE",
            "postal_code": "199676959",
            "country_code": "US",
            "telephone_number": "302-645-8212",
            "fax_number": "302-645-2199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18947 John J Williams Hwy Unit 213",
            "address_purpose": "LOCATION",
            "city": "Rehoboth Beach",
            "state": "DE",
            "postal_code": "199714476",
            "country_code": "US",
            "telephone_number": "302-645-8212",
            "fax_number": "302-645-5041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACON PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "GIDEON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD/PRACTICE OWNER",
        "authorized_official_telephone_number": "302-645-8212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beacon Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robin G. Barnett, MA, LPCMH, NCC
• Karen L Barwick, LPCMH, NCC
• Jamie Lynn Basara
• Cassidy Annamarie Bauer
• Bayshore Health & Wellness
• Walter Robert Beck
• Crystal Beckwith, LPC
• Beebe Medical Center - Gull House
• Arthur B Belson, M.D.
• Amanda J Bendett, MPH, BSN, RN

• Pediatrics Physician in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Pediatrics Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.