Olympia Chagouris Ross, MSN, ACM, WCCM, RN

Individual provider Active NPI Primary Care Clinic/Center · Millville, DE

NPI 1992680243 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1992680243
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Clinic/Center 261QP2300X
License
L1-0073482 (DE)
Practice address
32550 Docs PL Unit 2
Millville, DE 19967-6975
Phone
(302) 539-4302
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0073482DEMDCommunity Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X L1-0073482 DE
Case Management Registered Nurse 163WC0400X L1-0073482 DE
Primary Care Clinic/Center 261QP2300X L1-0073482 DE Yes

Addresses

Primary practice location

32550 Docs PL Unit 2
Millville, DE 19967-6975

Mailing address

27 W MC Cabe St
Selbyville, DE 19975-9316
Phone (410) 215-8002

Other practice location 1

36450 Tidal Rd
Selbyville, DE 19975-4596
Phone (302) 291-6045

Other providers in Millville, DE

All providers in Millville, DE · Primary Care Clinic/Center in Delaware

Sources for this page

Verify at the official NPI Registry.