Individual provider Active NPI

Courtney Caputo, PA-C

  • Physician Assistant
  • Millsboro, DE
National Provider Identifier
1942774872
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0001311 Issued in DE
Practice address
30265 Commerce Dr Unit 103
Millsboro, DE 19966-3594
Phone
(302) 990-3280
NPI assigned
Jan 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0001311 DE Primary

Addresses

Primary practice location

30265 Commerce Dr Unit 103
Millsboro, DE 19966-3594

Mailing address

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3280

Other practice location 1

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3280

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
I20190724002957 DE Practitioner - Physician Assistant 1153657465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc. 115 clinicians
Tidalhealth Specialty Care LLC 375 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

100 Rawlins Dr
Seaford, DE 19973-5881
Phone (302) 990-3300

200 Federal St
Seaford, DE 19973-5764
Phone (410) 912-4976

Hospital & facility affiliations

  • Tidalhealth Nanticoke, Inc. Hospital, Seaford, DE, CCN 080006
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 8

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": "1547424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1942774872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RAWLINS DR",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199735881",
            "telephone_number": "302-990-3280",
            "fax_number": "302-990-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30265 COMMERCE DR UNIT 103",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199663594",
            "telephone_number": "302-990-3280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Rawlins Dr",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "DE",
            "postal_code": "199735881",
            "country_code": "US",
            "telephone_number": "302-990-3280",
            "fax_number": "302-990-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAPUTO",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-14",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millsboro, DE

Sources for this page

Verify at the official NPI Registry.