Individual provider Active NPI

Jordan Michelle Prouse, FNP

  • Family Nurse Practitioner
  • Lewes, DE
National Provider Identifier
1811756349
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0013158 Issued in DE
Practice address
431 Savannah Rd Ste C
Lewes, DE 19958-1460
Phone
(302) 644-4282
Fax
(302) 644-8734
NPI assigned
Mar 18, 2024
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0013158 DE
Family Nurse Practitioner 363LF0000X LG-0013158 DE Primary

Addresses

Primary practice location

431 Savannah Rd Ste C
Lewes, DE 19958-1460

Mailing address

1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 645-3499

Other practice location 1

16392 Coastal Hwy
Lewes, DE 19958-3611
Phone (302) 703-9743

Other practice location 2

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 644-4282

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
I20250424000752 DE Practitioner - Nurse Practitioner 2264958123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

431 Savannah Rd
Lewes, DE 19958-1460
Phone (302) 644-4282

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network, Inc. Nurse Practitioner CurrentSince Jul 25, 2025 Accepting new patients
First State Cardiovascular Associates Inc CurrentSince Apr 10, 2025 Accepting new patients
Cardiovascular Interventional Associates LLC PastSince Feb 21, 2014 Accepting new patients

Locations

1515 Savannah Rd
Lewes, DE 19958

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

431 Savannah Rd
Lewes, DE 19958
Phone (302) 644-4282

431 Savannah Rd
#C
Lewes, DE 19958
Phone (302) 644-4282

750 Kings Hwy
Ste 105
Lewes, DE 19958
Phone (302) 200-7530

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19398/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1811756349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SAVANNAH RD STE C",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581460",
            "telephone_number": "302-644-4282",
            "fax_number": "302-644-8734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16392 Coastal Hwy",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199583611",
            "country_code": "US",
            "telephone_number": "302-703-9743",
            "fax_number": "855-888-0359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "424 Savannah Rd",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199581462",
            "country_code": "US",
            "telephone_number": "302-644-4282",
            "fax_number": "302-644-8734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROUSE",
        "first_name": "JORDAN",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0013158",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0013158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.