Individual provider Active NPI

Shariyfa Cedeno

  • Family Nurse Practitioner
  • Camden Wyoming, DE
National Provider Identifier
1699596908
Registry record updated Oct 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0012920 Issued in DE
Practice address
PO Box 25
Camden Wyoming, DE 19934-0025
Phone
(340) 277-8399
NPI assigned
Oct 19, 2024
Last updated
Oct 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG-0012920 DE Primary

Addresses

Primary practice location

PO Box 25
Camden Wyoming, DE 19934-0025

Mailing address

PO Box 25
Camden Wyoming, DE 19934-0025

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325000785 DE Practitioner - Nurse Practitioner 7911420542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, 399 clinicians

Practice addresses (Care Compare)

665 Bay Rd
Unit B Bayhealth Primary Care
Dover, DE 19901
Phone (302) 608-5312

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LG-0012920DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bayhealth Medical Center, Inc CurrentSince Feb 23, 2025 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Feb 23, 2025 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

665 S Bay Rd
Unit B
Dover, DE 19901
Phone (302) 608-5312

101 Wellness Way
Ste 200
Milford, DE 19963
Phone (302) 422-1251

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1729296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1699596908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199340025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 25",
            "city": "CAMDEN WYOMING",
            "state": "DE",
            "postal_code": "199340025",
            "telephone_number": "340-277-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDENO",
        "first_name": "SHARIYFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-19",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0012920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden Wyoming, DE

Sources for this page

Verify at the official NPI Registry.