Individual provider Active NPI

Joseph Adam Mitchell, NP

  • Nurse Practitioner
  • Milford, DE
National Provider Identifier
1912416009
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0001084 Issued in DE
Practice address
100 Silicato Pkwy Ste 201
Milford, DE 19963-1273
Phone
(302) 393-2056
Fax
(302) 422-9359
NPI assigned
Sep 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0001084 DE Primary

Addresses

Primary practice location

100 Silicato Pkwy Ste 201
Milford, DE 19963-1273

Mailing address

1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 645-3499

Other practice location 1

1020 Forrest Ave
Dover, DE 19904-2799
Phone (302) 678-4622

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
I20171121000050 DE Practitioner - Nurse Practitioner 0648537001 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

18947 John J Williams Hwy
Unit 303
Rehoboth Beach, DE 19971-4477
Phone (302) 644-0690

Hospital & facility affiliations

  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0001084DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westside Family Healthcare, Inc CurrentSince Nov 27, 2017 Accepting new patients
Beebe Physician Network Inc. CurrentSince Nov 21, 2024 Accepting new patients
Westside Family Healthcare, Inc. Current Accepting new patients
Westside Family Healthcare, Inc. Past Accepting new patients

Locations

1020 Forrest Ave
Dover, DE 19904
Phone (302) 656-8292

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

1515 Savannah Rd
Lewes, DE 19958

34445 King Street Row
Lewes, DE 19958
Phone (302) 645-2833

12100 Black Swan Dr
Ste 104
Lewes, DE 19958
Phone (302) 645-1315

1305 Savannah Rd
Ste 1
Lewes, DE 19958
Phone (302) 645-2281

100 Silicato Pkwy
Ste 201
Milford, DE 19963
Phone (302) 393-2056

100 Silicato Pkwy
Ste 200
Milford, DE 19963
Phone (302) 393-2056

28538 DuPont Blvd
Unit 1
Millsboro, DE 19966
Phone (302) 829-3294

232 Mitchell St
Ste 3
Millsboro, DE 19966

32050 Long Neck Rd
Millsboro, DE 19966
Phone (302) 645-3150

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

23900 Milton Ellendale Hwy
Ste 101
Milton, DE 19968
Phone (302) 684-2033

18947 John J Williams Hwy
Unit 303
Rehoboth Beach, DE 19971
Phone (302) 644-0690

36450 Tidal Rd
Unit 2
Selbyville, DE 19975
Phone (302) 291-6045

1802 W 4th St
Wilmington, DE 19805
Phone (302) 655-5576

Organizations & group practices 4

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": "1505952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1912416009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-645-3499",
            "fax_number": "302-644-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SILICATO PKWY STE 201",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199631273",
            "telephone_number": "302-393-2056",
            "fax_number": "302-422-9359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 Forrest Ave",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "DE",
            "postal_code": "199042799",
            "country_code": "US",
            "telephone_number": "302-678-4622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOSEPH",
        "middle_name": "ADAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-21",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0001084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, DE

Sources for this page

Verify at the official NPI Registry.