Individual provider Active NPI

Holly Marie McKiel, D.O.

  • Obstetrics & Gynecology Physician
  • Lewes, DE
National Provider Identifier
1922396837
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C2-0011799 Issued in DE
Practice address
1535 Savannah Rd
Lewes, DE 19958-1611
Phone
(302) 645-4700
Fax
(302) 645-1042
NPI assigned
Jul 12, 2011
Last updated
Jan 30, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C2-0011799 DE Primary

Addresses

Primary practice location

1535 Savannah Rd
Lewes, DE 19958-1611

Mailing address

1535 Savannah Rd
Lewes, DE 19958-1611
Phone (302) 645-4700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160913001464 DE Practitioner - Obstetrics/Gynecology 4789900358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Wellness of Southern Delaware LLCGroup PAC ID 6305261678, 3 clinicians

Practice addresses (Care Compare)

17637 Shady Rd
Suite 201
Lewes, DE 19958-6248
Phone 30225753723

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
C2-0011799DEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Wellness of Southern Delaware, LLC Obstetrics & Gynecology CurrentSince Oct 1, 2020 Accepting new patients

Locations

17637 Shady Rd
Ste 201
Lewes, DE 19958
Phone (302) 257-5372

Interoperability endpoints

  • Direct secure messaging: hmckiel22759@beebehealth.direct-ci.com
  • Direct secure messaging: holly.mckiel.1@22603.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22603/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485734400000",
    "number": "1922396837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581611",
            "telephone_number": "302-645-4700",
            "fax_number": "302-645-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581611",
            "telephone_number": "302-645-4700",
            "fax_number": "302-645-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIEL",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2017-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C2-0011799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.