Individual provider Active NPI

Holly Schreiber

  • Nurse Practitioner
  • Millsboro, DE
National Provider Identifier
1750990958
Registry record updated Jan 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R190853 Issued in MD
Practice address
30265 Commerce Dr
Millsboro, DE 19966-3593
Phone
(302) 297-2598
NPI assigned
Jul 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R190853 MD
Nurse Practitioner 363L00000X R190853 MD Primary

Addresses

Primary practice location

30265 Commerce Dr
Millsboro, DE 19966-3593

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400

Other practice location 1

7728 Egret Ln
Hebron, MD 21830-2180
Phone (443) 856-8098

Other identifiers 1

IdentifierTypeStateIssuer
R190853OtherMDMARYLAND BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201012000864 MD Practitioner - Nurse Practitioner 8325468432 Reassigns benefits to 2 organizations
I20220929000072 DE Practitioner - Nurse Practitioner 8325468432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tidalhealth Specialty Care LLCGroup PAC ID 7113340845, 375 clinicians
Umms Ambulatory Care LLCGroup PAC ID 8426461427, 53 clinicians
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians

Practice addresses (Care Compare)

100 E Carroll St
Salisbury, MD 21801-5422

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

28522 Marlboro Ave
Suite C
Easton, MD 21601-2792
Phone (443) 746-0086

30265 Commerce Dr
Millsboro, DE 19966-3594

701 Middleford Rd
Seaford, DE 19973-3600
Phone (302) 628-6344

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R190853MDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Sep 1, 2022 Accepting new patients
Umms Ambulatory Care LLC Current Accepting new patients
Umms Ambulatory Care LLC CurrentSince Jan 1, 2021 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Sep 5, 2022 Accepting new patients

Locations

30265 Commerce Dr
Millsboro, DE 19966
Phone (302) 629-5050

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

200 Federal St
Seaford, DE 19973
Phone (302) 629-9099

701 Middleford Rd
Seaford, DE 19973
Phone (302) 628-6344

744 S Philadelphia Blvd
Ste B
Aberdeen, MD 21001
Phone (443) 345-2650

8 Denton Plz
Denton, MD 21629
Phone (443) 606-2300

8 Denton Plz
#1
Denton, MD 21629
Phone (443) 606-2300

1730 Merritt Blvd
Dundalk, MD 21222
Phone (410) 282-2756

28522 Marlboro Ave
#C
Easton, MD 21601
Phone (443) 746-0086

2315 Bel Air Rd
Ste C1
Fallston, MD 21047
Phone (443) 966-3900

14237 Jarrettsville Pike
Phoenix, MD 21131
Phone (410) 650-4734

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

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 4

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": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1750990958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663593",
            "telephone_number": "302-297-2598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7728 Egret Ln",
            "address_purpose": "LOCATION",
            "city": "Hebron",
            "state": "MD",
            "postal_code": "218302180",
            "country_code": "US",
            "telephone_number": "443-856-8098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHREIBER",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R190853",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R190853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF NURSING",
            "identifier": "R190853",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.