Center for Interventional Pain Spine LLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Middletown, DE
NPI 1962343418 · NPPES record last updated Apr 1, 2026
Key facts
- NPI
- 1962343418
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- CENTER FOR INTERVENTIONAL PAIN SPINE LLC
- Practice address
- 291 Carter Dr
Middletown, DE 19709-5845 - Phone
- (844) 365-7246
- NPI assigned
- Apr 1, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Authorized official
- Name
- Stefanie Paulus
- Title
- Manager
- Phone
- (302) 766-5368
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 19
Practitioners 2
-
Daniel M Nasr, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DE, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110503000784 | DE | Part B Supplier - Clinic/Group Practice | 6507040078 |
Receives reassigned benefits from 27 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Middletown, DE; Newark, DE; Wilmington, DE |
| O20210928000463 | MD | Part B Supplier - Clinic/Group Practice | 6507040078 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Elkton, MD |
National Provider Directory
- Tax ID family
- Center for Interventional Pain Spine
- Part of
- Center for Interventional Pain Spine
Locations
291 Carter Dr
Middletown, DE 19709
360 E Pulaski Hwy
Elkton, MD 21921
Phone (410) 398-1690
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
291 Carter Dr
Middletown, DE 19709-5845
Mailing address
291 Carter Dr
Middletown, DE 19709-5845
Other practice location 1
360 E Pulaski Hwy
Elkton, MD 21921-6457
Phone (844) 365-7246
Other practice location 2
405 Silverside Rd
Wilmington, DE 19809-1774
Phone (844) 365-7246
Other practice location 3
3105 Limestone Rd
Wilmington, DE 19808-2147
Phone (844) 365-7246
Other providers in Middletown, DE
- Center for Conscious Healing
- Center for Interventional Pain Spine LLC
- Center for Interventional Pain Spine LLC
- Center for Interventional Pain Spine LLC
- Center for Interventional Pain Spine LLC
- Carolyn B Chambers
- Kamryn Chandler
- Alyssa Charboneau
- Lorna Charles
- Andrew Chas
All providers in Middletown, DE · Psychiatric/Mental Health Nurse Practitioner in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.