Individual provider Active NPI

Teresa Diane Pepe, NP-C

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1851445159
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LB-0000155 Issued in DE
Practice address
501 W 14TH St
Gateway BLDG 5TH Floor
Wilmington, DE 19801-1013
Phone
(302) 623-3017
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X LB-0000155 DE
Nurse Practitioner 363L00000X LB-0000155 DE Primary

Addresses

Primary practice location

501 W 14TH St
Gateway BLDG 5TH Floor
Wilmington, DE 19801-1013

Mailing address

200 Hygeia Dr Ste 2300
Newark, DE 19713-2049
Phone (302) 239-0858

Other identifiers 2

IdentifierTypeStateIssuer
AN0212OtherDECSA
LB-0000155OtherDESTATE LICENSE

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
I20140318001204 DE Practitioner - Nurse Practitioner 3678704590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-3017

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christiana Care Health Services Inc Nurse Practitioner CurrentSince Sep 24, 2018 Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 24, 2018 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Sep 24, 2018 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Past Accepting new patients
Delaware Medical Group, LLC Past Accepting new patients

Locations

200 Hygeia Dr
Ste 1420
Newark, DE 19713
Phone (302) 623-3017

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

774 Christiana Rd
Ste 201
Newark, DE 19713
Phone (302) 623-3017

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

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

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

501 W 14th St
Bldg 5TH
Wilmington, DE 19801
Phone (302) 320-2620

501 W 14th St
Fl 5
Wilmington, DE 19801
Phone (302) 320-2490

Organizations & group practices 6

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 3

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851445159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR STE 2300",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-239-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST",
            "address_2": "GATEWAY BLDG 5TH FLOOR",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-623-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPE",
        "first_name": "TERESA",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LB-0000155",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LB-0000155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSA",
            "identifier": "AN0212",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "LB-0000155",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.