Active NPI
Anita Louise Bains, MS RN CSP
- Psychiatric/Mental Health Clinical Nurse Specialist
- Wilmington, DE
National Provider Identifier
1811037559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- License
- R092697
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811037559 | Other | BLUE 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nicoleta Coconcea, LLC | Current | Accepting new patients | |
| Covenant Health Inc. | Past | Accepting new patients | |
| Simon Innovative Solutions | Past | 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.
-
- Psychiatry Physician
- Wilmington, DE
- NPI 1528610763
-
- In Home Supportive Care Agency
- Elkton, MD
- NPI 1376410217
-
- Clinical Medical Laboratory
- Elkton, MD
- NPI 1942177894
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.