Individual provider Active NPI

Alice Diane McCracken, M.D.

  • Obstetrics & Gynecology Physician
  • Newark, DE
National Provider Identifier
1831124270
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C1-0006182 Issued in DE
Practice address
4735 Ogletown Stanton Rd
Suite 2300
Newark, DE 19713-2072
Phone
(302) 224-8400
Fax
(302) 225-1111
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C1-0006182 DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Rd
Suite 2300
Newark, DE 19713-2072

Mailing address

4735 Ogletown Stanton Rd
Suite 2300
Newark, DE 19713-2072
Phone (302) 224-8400

Other identifiers 2

IdentifierTypeStateIssuer
C1-0006182OtherDEMEDICAL LICENSE
G02285OtherMEDICARE GROUP #

Other names 1

  • Diane McCracken Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diane.mccracken.p1@direct.lifelinemedicalassoc.nextgenshare.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000373 DE Practitioner - Obstetrics/Gynecology 6305856188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahneman Medical College of the Pacific, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Medical Associates LLCGroup PAC ID 1456332170, 155 clinicians

Practice addresses (Care Compare)

875 Aaa Blvd
Suite B 3
Newark, DE 19713-3624
Phone (302) 454-9800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
All About Women of Christiana Care, Inc Obstetrics & Gynecology Current Accepting new patients
Lifeline Medical Associates, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2020 Accepting new patients
Women First, LLC Obstetrics & Gynecology PastSince Aug 1, 2020 Accepting new patients
Christiana Care Health Services Inc Obstetrics & Gynecology Past Accepting new patients

Locations

875 AAA Blvd
Ste B3
Newark, DE 19713
Phone (302) 454-9800

620 Stanton Christiana Rd
Ste 202
Newark, DE 19713
Phone (302) 384-7439

4745 Ogletown Stanton Rd
#Sfirst
Newark, DE 19713
Phone (302) 454-9800

4735 Ogletown Stanton Rd
Ste 2300
Newark, DE 19713
Phone (302) 224-8400

4600 Linden Hill Rd
Ste 202
Wilmington, DE 19808
Phone (302) 995-6642

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: a.diane.mccracken.1@27010.direct.athenahealth.com

Organizations & group practices 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1831124270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-224-8400",
            "fax_number": "302-225-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD",
            "address_2": "SUITE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132072",
            "telephone_number": "302-224-8400",
            "fax_number": "302-225-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRACKEN",
        "first_name": "ALICE",
        "middle_name": "DIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C1-0006182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C1-0006182",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "G02285",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane.mccracken.p1@direct.lifelinemedicalassoc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "4735 Ogletown Stanton Rd",
            "address_2": "Suite 2300",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197132072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "MCCRACKEN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.