Individual provider Active NPI

Eric Funwi Neba, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1770193807
Registry record updated Aug 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010217 Issued in DE
Practice address
5201 W Woodmill Dr # 31
Wilmington, DE 19808-4068
Phone
(302) 384-7843
NPI assigned
Aug 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0010217 DE Primary

Addresses

Primary practice location

5201 W Woodmill Dr # 31
Wilmington, DE 19808-4068

Mailing address

5201 W Woodmill Dr # 31
Wilmington, DE 19808-4068
Phone (302) 384-7843

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
I20210930002671 DE Practitioner - Nurse Practitioner 7416354675 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
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
Circle of Hope Services LLCGroup PAC ID 5799182952, 2 clinicians

Practice addresses (Care Compare)

1326 S Governors Ave
Suite a
Dover, DE 19904-4800
Phone (855) 284-7483

224 N Dupont Blvd
Smyrna, DE 19977-1511
Phone (302) 588-5841

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Hope Services LLC Psychiatric/Mental Health CurrentSince Aug 1, 2021 Accepting new patients
Thrive Counseling LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

1326 S Governors Ave
Ste A
Dover, DE 19904
Phone (302) 246-5527

200 S DuPont Blvd
Ste 104
Smyrna, DE 19977
Phone (302) 363-5769

224 N DuPont Blvd
Smyrna, DE 19977
Phone (302) 442-3698

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596499200000",
    "number": "1770193807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 W WOODMILL DR # 31",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-384-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 W WOODMILL DR # 31",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084068",
            "telephone_number": "302-384-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEBA",
        "first_name": "ERIC",
        "middle_name": "FUNWI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-08-04",
        "certification_date": "2020-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.