Individual provider Active NPI

Stacey Renee Brown-Adekunle, WHNP

  • Advanced Practice Midwife
  • Smyrna, DE
National Provider Identifier
1982369369
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
LH-0010282 Issued in DE
Practice address
100 S Main St Ste 215
Smyrna, DE 19977-1479
Phone
(302) 659-4520
Fax
(302) 659-4525
NPI assigned
Nov 1, 2021
Last updated
Apr 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X LH-0010282 DE Primary
Inpatient Obstetric Registered Nurse 163WX0003X L1-0031632 DE

Addresses

Primary practice location

100 S Main St Ste 215
Smyrna, DE 19977-1479

Mailing address

125 E Constitution Dr
Smyrna, DE 19977-4060
Phone (302) 399-6610

Other practice location 1

125 E Constitution Dr
Smyrna, DE 19977-4060
Phone (302) 399-6610

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
I20240227000767 DE Practitioner - Nurse Practitioner 2961847272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

100 S Main St
215 CCHS OB/GYN
Smyrna, DE 19977-1479
Phone (302) 659-4520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0031632DEMDInpatient Obstetric Registered Nurse
LH-0010282DEMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Advanced Practice Midwife CurrentSince Apr 8, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Apr 8, 2024 Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients

Locations

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

100 S Main St
Ste 215
Smyrna, DE 19977
Phone (302) 659-4520

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

Organizations & group practices 4

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": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1982369369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E CONSTITUTION DR",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199774060",
            "telephone_number": "302-399-6610",
            "fax_number": "302-399-6610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 215",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771479",
            "telephone_number": "302-659-4520",
            "fax_number": "302-659-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 E Constitution Dr",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "DE",
            "postal_code": "199774060",
            "country_code": "US",
            "telephone_number": "302-399-6610",
            "fax_number": "302-399-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-ADEKUNLE",
        "first_name": "STACEY",
        "middle_name": "RENEE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-01",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "DE",
            "license": "LH-0010282",
            "primary": true
        },
        {
            "code": "163WX0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Obstetric, Inpatient",
            "state": "DE",
            "license": "L1-0031632",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.