Active NPI
Shornett Codiann Fletcher, NP
- Family Nurse Practitioner
- Elkton, MD
National Provider Identifier
1831922210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0012742
- Practice address
- 115 Erin CT
Elkton, MD 21921-6692 - Phone
- (954) 955-1709
- NPI assigned
- Aug 22, 2024
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | LG-0012742 | MD | Primary |
Addresses
Primary practice location
115 Erin CT
Elkton, MD 21921-6692
Mailing address
115 Erin CT
Elkton, MD 21921-6692
Phone (954) 955-1709
Other practice location 1
303 E Lea Blvd
Wilmington, DE 19802-2353
Phone (302) 476-8896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13-4205050 | Medicaid | DE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4110 Ogletown Stanton Rd
Newark, DE 19713-4169
Phone (302) 738-0103
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0012742 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Delaware P.a. | Multi-Specialty | Current | Accepting new patients |
| Dr. Clyde a. Maxwell Jr, PA | Past | Accepting new patients |
Locations
4110 Stanton Ogletown Rd
Newark, DE 19713
Phone (302) 738-0103
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
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.
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1831368489
DE, Multi-Specialty
-
- Dental Clinic/Center
- Wilmington, DE
- NPI 1053464560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1831922210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 ERIN CT",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216692",
"telephone_number": "954-955-1709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 ERIN CT",
"city": "ELKTON",
"state": "MD",
"postal_code": "219216692",
"telephone_number": "954-955-1709"
}
],
"practiceLocations": [
{
"address_1": "303 E Lea Blvd",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "DE",
"postal_code": "198022353",
"country_code": "US",
"telephone_number": "302-476-8896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLETCHER",
"first_name": "SHORNETT",
"middle_name": "CODIANN",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "LG-0012742",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "13-4205050",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.