JESSICA ADDIS
NPI 1043950389
Student in an Organized Health Care Education/Training Program in Newark, DE

Active since April 01, 2022PECOS Enrolled
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-1043 Get Directions Write a Review

NPPES record last updated: November 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Addis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ADDIS (NPI 1043950389) is an individual student in an organized health care education/training program in Newark, Delaware and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1043950389
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA ADDIS
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-2200
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200
Sole ProprietorNo
Enumeration DateApril 1, 2022
Last NPPES UpdateNovember 25, 2022
NPPES CertifiedNovember 25, 2022
NPI 1043950389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4755 OGLETOWN STANTON RD, Newark, DE 19718

Secondary Practice Location 1

Location 1501 W 14th StWilmington, DE 19801-1013 · Phone (302) 733-1043

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jessica Addis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Addis's NPI number?

The NPI number for Jessica Addis is 1043950389. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Jessica Addis located?

Jessica Addis practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-1043.

What is Jessica Addis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Addis enrolled in Medicare?

Yes. Jessica Addis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jessica Addis was last updated on November 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.