Ellen Rose Shephard, AUD
Individual provider Active NPI Audiologist · Newark, DE
NPI 1750121562 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1750121562
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- Practice address
- 700 Prides Crossing
Suite 200
Newark, DE 19713 - Phone
- (302) 998-0300
- NPI assigned
- May 29, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Qualified Audiologist
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- ENT and Allergy of Delaware LLC
Practice addresses (Care Compare)
1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2764
Phone (302) 998-0300
700 Prides Crossing
Suite 200
Newark, DE 19713-6109
700 Prides Xing
Suite 200
Newark, DE 19713-6109
Phone (302) 998-0300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240723002398 | DE | Practitioner - Qualified Audiologist | 1951847243 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy of Delaware LLC | Current |
Accepting new patients |
Locations
306 E Main St
Middletown, DE 19709
Phone (302) 378-4489
700 Prides Xing
Ste 200
Newark, DE 19713
1401 Foulk Rd
Ste 205
Wilmington, DE 19803
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | DE | Yes |
Addresses
Primary practice location
700 Prides Crossing
Suite 200
Newark, DE 19713
Mailing address
700 Prides Crossing
Suite 200
Newark, DE 19713
Phone (302) 998-0300
Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.