Individual provider Active NPI

Crystal M Perry

  • Nurse Practitioner
  • Wilmington, DE
National Provider Identifier
1932670734
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP019661 Issued in PA
Practice address
302 Shipley Rd Apt 701
Wilmington, DE 19809-3630
Phone
(267) 701-7465
NPI assigned
Dec 6, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 SP019661 PA Primary

Addresses

Primary practice location

302 Shipley Rd Apt 701
Wilmington, DE 19809-3630

Mailing address

302 Shipley Rd Apt 701
Wilmington, DE 19809-3630
Phone (267) 701-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190710000478 PA Practitioner - Nurse Practitioner 4183959430 Reassigns benefits to 1 organization
I20240126002932 DE Practitioner - Nurse Practitioner 4183959430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3301 Green St
Suite 343
Claymont, DE 19703-2052
Phone (302) 765-7109

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Symplicity Healthcare CurrentSince Jan 1, 2024 Accepting new patients
Lets Talk About It CurrentSince Jan 1, 2024 Accepting new patients
Psychogeriatric Services LLC Nurse Practitioner CurrentSince Jul 8, 2022 Accepting new patients

Locations

3301 Green St
Ste 343
Claymont, DE 19703
Phone (267) 701-7465

12073 Tech Rd
Ste B
Silver Spring, MD 20904
Phone (240) 396-5873

595 Biglerville Rd
Gettysburg, PA 17325
Phone (717) 334-6249

146 E King St
Lancaster, PA 17602
Phone (302) 990-2323

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1932670734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 SHIPLEY RD APT 701",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093630",
            "telephone_number": "267-701-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SHIPLEY RD APT 701",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198093630",
            "telephone_number": "267-701-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CRYSTAL",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP019661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.