Active NPI
Eileen M Gleasner, APN
- Nurse Practitioner
- Wilmington, DE
National Provider Identifier
1730141706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- LG-0000125
- Practice address
- 1941 Limestone Rd
Suite 211
Wilmington, DE 19808-5408 - Phone
- (302) 998-1151
- Fax
- (302) 998-1154
- NPI assigned
- Apr 5, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | LG-0000125 | DE | Primary |
Addresses
Primary practice location
1941 Limestone Rd
Suite 211
Wilmington, DE 19808-5408
Mailing address
1941 Limestone Rd
Suite211
Wilmington, DE 19808-5408
Phone (302) 998-1151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000858642 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000125 | DE | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geriatric Medicine Consultants PA | Current | Accepting new patients | |
| Post Acute Specialty Care LLC | Current | Accepting new patients | |
| Van Buren Medical Associates | Past | Accepting new patients | |
| Vascular Specialists, P.a. | Past | Accepting new patients |
Locations
810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420
1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Greenville, DE
- NPI 1598031643
-
- Internal Medicine Physician
- Wilmington, DE
- NPI 1093472656
-
- Family Medicine Physician
- Wilmington, DE
- NPI 1306808332
-
- Vascular Surgery Physician
- Newark, DE
- NPI 1366716060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367193600000",
"number": "1730141706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1941 LIMESTONE RD",
"address_2": "SUITE211",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085408",
"telephone_number": "302-998-1151",
"fax_number": "302-998-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1941 LIMESTONE RD",
"address_2": "SUITE 211",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085408",
"telephone_number": "302-998-1151",
"fax_number": "302-998-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLEASNER",
"first_name": "EILEEN",
"middle_name": "M",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2013-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0000125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000858642",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.