Individual provider Active NPI

Olympia Chagouris Ross, MSN, ACM, WCCM, RN

  • Primary Care Clinic/Center
  • Millville, DE
National Provider Identifier
1992680243
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
L1-0073482 Issued in DE
Practice address
32550 Docs PL Unit 2
Millville, DE 19967-6975
Phone
(302) 539-4302
NPI assigned
Aug 6, 2025
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 3

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

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

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
L1-0073482DEMDCase Management Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1992680243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W MC CABE ST",
            "city": "SELBYVILLE",
            "state": "DE",
            "postal_code": "199759316",
            "telephone_number": "410-215-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32550 DOCS PL UNIT 2",
            "city": "MILLVILLE",
            "state": "DE",
            "postal_code": "199676975",
            "telephone_number": "302-539-4302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36450 Tidal Rd",
            "address_purpose": "LOCATION",
            "city": "Selbyville",
            "state": "DE",
            "postal_code": "199754596",
            "country_code": "US",
            "telephone_number": "302-291-6045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "OLYMPIA",
        "middle_name": "CHAGOURIS",
        "name_prefix": "Mrs.",
        "credential": "MSN, ACM, WCCM, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "DE",
            "license": "L1-0073482",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "DE",
            "license": "L1-0073482",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "DE",
            "license": "L1-0073482",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.