Jillian Laura Mudry

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

LG-0011687 Issued in DE

Practice address

96 Atlantic Ave Ste 103
Ocean View, DE 19970-9103

Phone

(302) 402-3015

NPI assigned

Aug 9, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jillian Laura Zuppo Former name

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Delmarva Dermatology LLCGroup PAC ID 5991048795, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beebe Medical Center Hospital, Lewes, DE, CCN 080007

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Quality

87.95

Promoting interoperability

100

Improvement activities

40

Cost

80.88

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17579/brand/1/csg/1/fhir/r4

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.

• Delmarva Dermatology, LLC

  • Dermatology Physician
  • Bethany Beach, DE
  • NPI 1568922672
  Medicare reassignment Care Compare group NPD
• The Pearl Clinic, LLC

  • Internal Medicine Physician
  • Millsboro, DE
  • NPI 1144528308
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beebe Medical Center, Inc.

  • General Acute Care Hospital
  • Lewes, DE
  • NPI 1821196486
  Care Compare affiliation

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1932653854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 ATLANTIC AVE STE 103",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "199709103",
            "telephone_number": "302-402-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 ATLANTIC AVE STE 103",
            "city": "OCEAN VIEW",
            "state": "DE",
            "postal_code": "199709103",
            "telephone_number": "302-402-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDRY",
        "first_name": "JILLIAN",
        "middle_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DE",
            "license": "L1-0048829",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0011687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "ZUPPO",
            "middle_name": "LAURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Linzey, RN
• Living Resources Inc.
• Megan S Macdonald, P.T.
• Matrix Rehabilitation Delaware, Inc
• Arthur H McTighe, MD
• Madison L Nash
• Nurtured Club Therapy, LLC
• Phoenix Rehabilitation and Health Services of Delaware Inc
• Molly Pizzo
• Frank Edward Raduszewski IV

• Nurse Practitioner in Ocean View, DE
• Providers in Ocean View, DE by specialty
• Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.

Verify at the official NPI Registry.