Individual provider Active NPI

Misty Sheree Buoniconti, AGAC-NP

  • Nurse Practitioner
  • Newark, DE
National Provider Identifier
1982332367
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LP-0010568 Issued in DE
Practice address
4755 Ogletown Stanton Rd Ste 1D70
Newark, DE 19718-2200
Phone
(302) 733-1663
Fax
(302) 733-1616
NPI assigned
Aug 12, 2022
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R201067 MD
Nurse Practitioner 363L00000X R201067 MD
Acute Care Nurse Practitioner 363LA2100X R201067 MD
Acute Care Nurse Practitioner 363LA2100X LP-0010568 DE
Nurse Practitioner 363L00000X LP-0010568 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd Ste 1D70
Newark, DE 19718-2200

Mailing address

4755 Ogletown Stanton Rd Ste 1D70
Newark, DE 19718-2200
Phone (302) 733-1663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 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
I20220901002132 DE Practitioner - Nurse Practitioner 9335523844 Reassigns benefits to 1 organization
I20221217000056 MD Practitioner - Nurse Practitioner 9335523844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Associates LLCGroup PAC ID 1951684273, 4 clinicians

Practice addresses (Care Compare)

500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP-0010568DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County CurrentSince Nov 17, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 22, 2022 Accepting new patients
Infectious Disease Associates LLC CurrentSince Sep 8, 2024 Accepting new patients
Union Hospital of Cecil County CurrentSince Nov 17, 2022 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 22, 2022 Accepting new patients

Locations

200 Hygeia Dr
Ste 2300
Newark, DE 19713
Phone (302) 623-7362

4755 Ogletown Stanton Rd
Ste 1D70
Newark, DE 19718
Phone (302) 733-1663

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

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

500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000

520 Upper Chesapeake Dr
Ste 312
Bel Air, MD 21014
Phone (443) 643-2236

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

10845 Philadelphia Rd
White Marsh, MD 21162
Phone (410) 335-0008

Interoperability endpoints

  • Direct secure messaging: mbuoniconti1176597@direct.umm.edu

Organizations & group practices 5

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 2

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1982332367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD STE 1D70",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1663",
            "fax_number": "302-733-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD STE 1D70",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1663",
            "fax_number": "302-733-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONICONTI",
        "first_name": "MISTY",
        "middle_name": "SHEREE",
        "name_prefix": "Mrs.",
        "credential": "AGAC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R201067",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MD",
            "license": "R201067",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R201067",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DE",
            "license": "LP-0010568",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LP-0010568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.