Individual provider Active NPI

Bonnie Chambers

  • Nurse Practitioner
  • Newark, DE
National Provider Identifier
1972053619
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000962 Issued in DE
Practice address
4735 Ogletown Stanton Rd Ste 3301
Newark, DE 19713-7021
Phone
(302) 623-4370
Fax
(302) 623-4375
NPI assigned
Oct 6, 2016
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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 LG-0000962 DE Primary

Addresses

Primary practice location

4735 Ogletown Stanton Rd Ste 3301
Newark, DE 19713-7021

Mailing address

4735 Ogletown Stanton Rd Ste 3301
Newark, DE 19713-7021
Phone (302) 623-4370

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
I20161219000878 DE Practitioner - Nurse Practitioner 9436439023 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

501 W 14TH St Wilmington Hospital
CCHS Chiefs Surgical Services
Wilmington, DE 19801-1013
Phone (302) 428-4175

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0000962DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince May 1, 2018 Accepting new patients
Geriatric Medicine Consultants PA CurrentSince Oct 19, 2016 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christiana Care Health Services Inc CurrentSince May 1, 2018 Accepting new patients
Christiana Care Health Services, Inc CurrentSince Jul 29, 2018 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Past Accepting new patients

Locations

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

4735 Ogletown Stanton Rd
Ste 3301
Newark, DE 19713
Phone (302) 623-4370

4755 Ogletown Stanton Rd
Ste 5A43
Newark, DE 19718
Phone (302) 623-0188

5 Christiana Dr
#A43
Newark, DE 19717

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1601 Milltown Rd
Ste 2
Wilmington, DE 19808
Phone (302) 463-6542

501 W 14th St
#4154
Wilmington, DE 19801
Phone (302) 428-4175

501 W 14th St
Ste 4154
Wilmington, DE 19801
Phone (302) 428-4175

Organizations & group practices 6

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 1

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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1972053619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD STE 3301",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197137021",
            "telephone_number": "302-623-4370",
            "fax_number": "302-623-4375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 OGLETOWN STANTON RD STE 3301",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197137021",
            "telephone_number": "302-623-4370",
            "fax_number": "302-623-4375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "BONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.