Individual provider Active NPI

Eileen M Gleasner, APN

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1730141706
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000125 Issued in DE
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

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000858642MedicaidDE

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG-0000125DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Medicine Consultants PA CurrentSince Apr 1, 2012 Accepting new patients
Post Acute Specialty Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Van Buren Medical Associates PastSince Apr 1, 1998 Accepting new patients
Vascular Specialists, P.a. PastSince Jun 5, 2012 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.

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

Verify at the official NPI Registry.