Individual provider Active NPI

Anita Louise Bains, MS RN CSP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Wilmington, DE
National Provider Identifier
1811037559
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
R092697 Issued in MD
Practice address
5700 Kirkwood Hwy
Wilmington, DE 19808
Phone
(302) 224-1711
Fax
(302) 513-9967
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2018

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 Clinical Nurse Specialist 364SP0808X R092697 MD Primary

Addresses

Primary practice location

5700 Kirkwood Hwy
Wilmington, DE 19808

Mailing address

1760 Forrest Ave
Parkville, MD 21234-6116
Phone (410) 302-5446

Other practice location 1

660 Kenilworth Dr Ste 102
Towson, MD 21204-2353
Phone (410) 302-5446

Other identifiers 1

IdentifierTypeStateIssuer
1811037559OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210301000587 WA Practitioner - Nurse Practitioner 0840212247 Practice locations: Bremerton, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2277 Seringa Ave
Bremerton, WA 98310-5168
Phone (410) 302-5446

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nicoleta Coconcea, LLC CurrentSince Jul 15, 2019 Accepting new patients
Covenant Health Inc. PastSince Nov 7, 2025 Accepting new patients
Simon Innovative Solutions PastSince Nov 7, 2025 Accepting new patients

Locations

5700 Kirkwood Hwy
Ste 107
Wilmington, DE 19808
Phone (302) 224-1711

Organizations & group practices 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1811037559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 FORREST AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212346116",
            "telephone_number": "410-302-5446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 KIRKWOOD HWY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-224-1711",
            "fax_number": "302-513-9967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Kenilworth Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042353",
            "country_code": "US",
            "telephone_number": "410-302-5446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAINS",
        "first_name": "ANITA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MS RN CSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R092697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1811037559",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.