Individual provider Active NPI

Shirley A. Brogley, APRN,BC-PCM

  • Family Nurse Practitioner
  • Newark, DE
National Provider Identifier
1831397900
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
LB-0000219 Issued in DE
Practice address
4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713
Phone
(302) 366-1200
Fax
(302) 366-1700
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X LB-0000219 DE
Family Nurse Practitioner 363LF0000X LB-0000219 DE Primary

Addresses

Primary practice location

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713

Mailing address

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713
Phone (302) 366-1200

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
I20080606000590 DE Practitioner - Nurse Practitioner 0244300929 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Oncology Hematology Consultants PAGroup PAC ID 6305923756, 32 clinicians

Practice addresses (Care Compare)

4701 Ogletown Stanton Rd
Suite 3400
Newark, DE 19713-7007
Phone (302) 366-1200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LB-0000219DEMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince Dec 1, 2007 Accepting new patients
Christiana Care Health Services, Inc Hospice and Palliative Medicine CurrentSince Dec 1, 2007 Accepting new patients
Medical Oncology Hematology Consultants PA CurrentSince Jan 4, 2021 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients

Locations

272 Carter Dr
Ste 200
Middletown, DE 19709
Phone (302) 366-1200

651 N Broad St
Ste 406
Middletown, DE 19709
Phone (302) 366-1200

4755 Ogletown Stanton Rd
Ste 6E88
Newark, DE 19718
Phone (302) 733-4186

4701 Ogletown Stanton Rd
Ste 3400
Newark, DE 19713
Phone (302) 366-1200

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • Direct secure messaging: shirley.brogley@mohc.ikm.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1831397900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 3400",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-366-1200",
            "fax_number": "302-366-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 3400",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "19713",
            "telephone_number": "302-366-1200",
            "fax_number": "302-366-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROGLEY",
        "first_name": "SHIRLEY",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "APRN,BC-PCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "DE",
            "license": "LB-0000219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LB-0000219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.