Individual provider Active NPI

Andrea Marylin Bishop, PA-C

  • Physician Assistant
  • Milford, DE
National Provider Identifier
1861048274
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011810 Issued in DE
Practice address
100 Wellness Way
Milford, DE 19963-4364
Phone
(302) 424-7522
Fax
(302) 424-9210
NPI assigned
Aug 12, 2019
Last updated
Oct 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0011810 DE Primary

Addresses

Primary practice location

100 Wellness Way
Milford, DE 19963-4364

Mailing address

640 S. State Street
Mail Code 3055
Dover, DE 19901-3530
Phone (302) 424-7522

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
I20240410001172 DE Practitioner - Physician Assistant 4789007899 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bayhealth Medical Center, IncGroup PAC ID 1658364740, shared by 16 NPIs, 399 clinicians
Lower Shore Immediate Care of SelbyvilleGroup PAC ID 0547609497, 6 clinicians

Practice addresses (Care Compare)

100 Wellness Way
Milford, DE 19963-4364

38229 Dupont Blvd
Selbyville, DE 19975-3045
Phone (302) 433-6440

640 S State St
Dover, DE 19901-3530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.45 of 100Reported as group
Quality
79.76
Promoting interoperability
100
Improvement activities
40
Cost
75.07

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0011810DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Physicians Group CurrentSince Jul 1, 2020 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Apr 1, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Apr 1, 2024 Accepting new patients
Bayhealth Medical Center, Inc CurrentSince Sep 15, 2024 Accepting new patients
Bayhealth Medical Center, Inc. Past Accepting new patients
Bayhealth Medical Center, Inc Past Accepting new patients
Pediatric Therapy Partners, Inc. Past Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

640 S State St
#3055
Dover, DE 19901
Phone (302) 480-1688

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Milton, DE 19968
Phone (302) 725-3499

18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

1200 Sunset Ln
Ste 2210
Culpeper, VA 22701
Phone (540) 825-1829

Organizations & group practices 9

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 1

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": "1565568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1861048274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 S. STATE STREET",
            "address_2": "MAIL CODE 3055",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-424-7522",
            "fax_number": "302-424-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WELLNESS WAY",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199634364",
            "telephone_number": "302-424-7522",
            "fax_number": "302-424-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ANDREA",
        "middle_name": "MARYLIN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-12",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0011810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.