Individual provider Active NPI

Carolyn C. Weeks, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1881638567
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000269 Issued in DE
Practice address
200 Hygeia Dr
Newark, DE 19713-2049
Phone
(302) 273-1701
Fax
(302) 273-4497
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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 C5-0000269 DE Primary

Addresses

Primary practice location

200 Hygeia Dr
Newark, DE 19713-2049

Mailing address

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

Other identifiers 1

IdentifierTypeStateIssuer
1881638567MedicaidDE

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
I20040707000245 DE Practitioner - Physician Assistant 6305823493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Quality PartnersGroup PAC ID 0143657247, 96 clinicians

Practice addresses (Care Compare)

129 N Dupont Hwy
New Castle, DE 19720-3135
Phone (302) 501-6367

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701

2305 Concord Pike
Wilmington, DE 19803-2911
Phone (302) 467-3588

2645 Pulaski Hwy
SPC a
Newark, DE 19702-3909
Phone (302) 273-1317

360 Buckley Mill Rd
Suite B
Greenville, DE 19807-3035
Phone (302) 299-1001

3926 Kirkwood Hwy
Wilmington, DE 19808-5110
Phone (302) 267-7534

4724 Limestone Rd
Wilmington, DE 19808-1928
Phone (302) 467-3595

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Quality Partners PastSince Aug 1, 2021 Accepting new patients
Regional Orthopaedic Associates PA Physician Assistant Past Accepting new patients
Regional Orthopaedic Associates PA Physician Assistant Past Accepting new patients
Delmar Emergency Specialists PA Past Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: carolyn.weeks@ghuccc.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1881638567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-273-1701",
            "fax_number": "302-273-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "CAROLYN",
        "middle_name": "C.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881638567",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.