Individual provider Active NPI

Nicole Renee McCarry, FNP

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1750048690
Registry record updated Jan 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0011801 Issued in DE
Practice address
314 E Main St Ste 103
Newark, DE 19711-7180
Phone
(302) 366-0550
NPI assigned
Nov 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X LG-0011801 DE Primary

Addresses

Primary practice location

314 E Main St Ste 103
Newark, DE 19711-7180

Mailing address

314 E Main St
Newark, DE 19711-7128
Phone (302) 366-0550

Other names 1

  • Nicole Renee Reed Former name

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
I20220524002177 DE Practitioner - Nurse Practitioner 1052798493 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Post Acute Medical Services 1Group PAC ID 2466727755, 34 clinicians
De Pacs 2 PAGroup PAC ID 0244580926, 26 clinicians

Practice addresses (Care Compare)

700 Foulk Rd
Wilmington, DE 19803-3708
Phone (302) 764-0181

810 S Broom St
Wilmington, DE 19805-4245
Phone (302) 652-1181

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Wilmington, DE, CCN 087021
  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003
  • Christiana Hospital Hospital, Newark, DE, CCN 080001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Post Acute Medical Services 1 Single Specialty CurrentSince Dec 5, 2022 Accepting new patients
De Pacs 2 PA Single Specialty CurrentSince Dec 5, 2022 Accepting new patients
Premiere Physicians P.a. Single Specialty CurrentSince Feb 17, 2022 Accepting new patients
CS Pacs 3 Northeast, LLC Single Specialty CurrentSince Sep 9, 2024 Accepting new patients
Complete Sleep Lab Inc Single Specialty CurrentSince Dec 5, 2021 Accepting new patients

Locations

6525 Lancaster Pike
Hockessin, DE 19707
Phone (302) 998-0180

314 E Main St
Ste 103
Newark, DE 19711
Phone (302) 366-0550

505 Greenbank Rd
Wilmington, DE 19808
Phone (302) 998-0101

700 Foulk Rd
Wilmington, DE 19803
Phone (302) 328-1582

810 S Broom St
Wilmington, DE 19805
Phone (302) 234-5420

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1638057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1750048690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117128",
            "telephone_number": "302-366-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E MAIN ST STE 103",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117180",
            "telephone_number": "302-366-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARRY",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-28",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0011801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "REED",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.