Individual provider Active NPI

Yvonne Jean Owens, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1891380374
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0010242 Issued in DE
Practice address
709 W 22ND St
Wilmington, DE 19802-3928
Phone
(302) 660-6211
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X L8-0010242 DE Primary

Addresses

Primary practice location

709 W 22ND St
Wilmington, DE 19802-3928

Mailing address

709 W 22ND St
Wilmington, DE 19802-3928
Phone (302) 660-6211

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
I20230224000221 DE Practitioner - Nurse Practitioner 6800269747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southbridge Medical Advisory Council IncGroup PAC ID 8426967928, 9 clinicians
Uhs of Dover LLCGroup PAC ID 4486653151, 9 clinicians

Practice addresses (Care Compare)

601 New Castle Ave
Wilmington, DE 19801-5821
Phone (302) 655-6187

725 Horsepond Rd
Dover, DE 19901-7232
Phone (302) 741-0140

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8-0010242DEMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Dover LLC Single Specialty CurrentSince Feb 6, 2023 Accepting new patients
Southbridge Medical Advisory Council, Inc. Single Specialty CurrentSince Sep 1, 2023 Accepting new patients
Changing Minds Single Specialty Current Accepting new patients
Southbridge Medical Advisory Council Inc Single Specialty Current Accepting new patients
Southbridge Medical Advisory Council Inc Single Specialty CurrentSince Sep 1, 2023 Accepting new patients

Locations

2722 Philadelphia Pike
Claymont, DE 19703
Phone (302) 655-6187

725 Horsepond Rd
Dover, DE 19901
Phone (302) 741-0140

601 New Castle Ave
Wilmington, DE 19801
Phone (302) 655-6187

Organizations & group practices 5

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1891380374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W 22ND ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023928",
            "telephone_number": "302-660-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W 22ND ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198023928",
            "telephone_number": "302-660-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "YVONNE",
        "middle_name": "JEAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0010242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.