Active NPI
Mark Landis, N.P.
- Nurse Practitioner
- Newark, DE
National Provider Identifier
1912128588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- L1-0026969
- Practice address
- 700 Prides Xing Ste 200
Newark, DE 19713-6109 - Phone
- (302) 998-0300
- Fax
- (302) 543-8456
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | L1-0026969 | DE | Primary |
Addresses
Primary practice location
700 Prides Xing Ste 200
Newark, DE 19713-6109
Mailing address
700 Prides Xing Ste 200
Newark, DE 19713-6109
Phone (302) 998-0300
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, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1401 Foulk Rd
Suite 205
Wilmington, DE 19803-2764
Phone (302) 998-0300
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.46 of 100
- Quality
- 89.33
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0026969 | DE | MD | Nurse Practitioner |
Organizations & group practices 1
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.
-
- Specialist
- Newark, DE
- NPI 1386946333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597622400000",
"number": "1912128588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 PRIDES XING STE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136109",
"telephone_number": "302-998-0300",
"fax_number": "302-543-8456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PRIDES XING STE 200",
"city": "NEWARK",
"state": "DE",
"postal_code": "197136109",
"telephone_number": "302-998-0300",
"fax_number": "302-543-8456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDIS",
"first_name": "MARK",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2020-08-17",
"certification_date": "2020-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "L1-0026969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.