Individual provider Active NPI

Deborah Waurishuk, ARNP

  • Family Nurse Practitioner
  • Millsboro, DE
National Provider Identifier
1821097791
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LG-0001194 Issued in DE
Practice address
232 Mitchell St
Millsboro, DE 19966-9412
Phone
(302) 316-4190
Fax
(302) 366-1093
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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 ARNP1442012 FL
Family Nurse Practitioner 363LF0000X LG-0001194 DE Primary

Addresses

Primary practice location

232 Mitchell St
Millsboro, DE 19966-9412

Mailing address

1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 313-2298

Other practice location 1

13403 Boyette Rd
Riverview, FL 33569-8742
Phone (813) 654-1775

Other identifiers 2

IdentifierTypeStateIssuer
LG-0001194OtherDEMEDICAL LICENSE
ARNP1442012OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MD, DE3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050815000399 FL Practitioner - Nurse Practitioner 1254361827
I20180620000686 MD Practitioner - Nurse Practitioner 1254361827 Reassigns benefits to 1 organization
I20190130000111 DE Practitioner - Nurse Practitioner 1254361827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

232 Mitchell St
3Rd
Millsboro, DE 19966-9412
Phone (302) 316-4190

Hospital & facility affiliations

  • Beebe Hospital Home Health Home health agency, Millsboro, DE, CCN 087023
  • Aveanna Home Healthcare Home health agency, Milford, DE, CCN 087039
  • Amedisys Home Health Home health agency, Georgetown, DE, CCN 087034
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0001194DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Injury and Illness Centers LLC CurrentSince May 27, 2018 Accepting new patients
Beebe Physician Network Inc. Family CurrentSince Feb 18, 2019 Accepting new patients

Locations

1515 Savannah Rd
Lewes, DE 19958

232 Mitchell St
Ste 3
Millsboro, DE 19966

232 Mitchell St
Fl 3
Millsboro, DE 19966
Phone (302) 316-4190

232 Mitchell St
Millsboro, DE 19966
Phone (302) 934-0611

232 Mitchell St
Unit 301
Millsboro, DE 19966
Phone (302) 316-4190

28538 DuPont Blvd
Unit 1
Millsboro, DE 19966
Phone (302) 829-3294

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

7408 Coastal Hwy
Ocean City, MD 21842
Phone (410) 524-0075

12547 Ocean Gtwy
Ocean City, MD 21842
Phone (410) 213-0119

Interoperability endpoints

  • Direct secure messaging: dwaurishuk22422@beebehealth.direct-ci.com

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.

Hospital & facility affiliations 6

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1821097791",
    "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": "302-313-2298",
            "fax_number": "302-645-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 MITCHELL ST",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199669412",
            "telephone_number": "302-316-4190",
            "fax_number": "302-366-1093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13403 Boyette Rd",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335698742",
            "country_code": "US",
            "telephone_number": "813-654-1775",
            "fax_number": "813-651-9082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAURISHUK",
        "first_name": "DEBORAH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP1442012",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0001194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "LG-0001194",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP1442012",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.