EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1063284032
General Practice in Baltimore, MD

Q: What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 24, 2023

145 W OSTEND ST STE 600, BALTIMORE, MD 21230(773) 292-4800(312) 564-4059 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 18, 2025, Nov 17, 2023, Oct 24, 2023 (3 updates tracked since 2023).

On this page

About Evernorth Care Providers - Delaware Pa NPPES

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

EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1063284032) is a healthcare organization registered as a general practice in Baltimore, Maryland and active in the NPI registry since October 2023. The organization lists Grace Blue, Credentialing Sr. Manager, as its authorized official.

NPPES Registry Identity

NPI1063284032

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameEVERNORTH CARE PROVIDERS - DELAWARE PA

Location Address145 W OSTEND ST STE 600Baltimore, MD 21230-3774

Mailing Address730 Cool Springs Blvd Ste 500Franklin, TN 37067-7331 · (773) 292-4800 · Fax (312) 564-4059

Phone(773) 292-4800

Fax(312) 564-4059

Organization SubpartNo

Authorized OfficialGrace BlueCredentialing Sr. Manager · (773) 292-4800

Enumeration DateOctober 24, 2023

Last NPPES UpdateMarch 18, 20253 updates tracked since enumeration

NPPES CertifiedMarch 18, 2025

✔ NPI 1063284032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

145 W OSTEND ST STE 600, Baltimore, MD 21230

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evernorth Care Providers - Delaware Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Evernorth Care Providers - Delaware PA, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Kristen Seabrease, NP

Nurse Practitioner

NPI 1790085744

3601 ODONNELL ST
Baltimore, MD 21224

(443) 618-6137

✔ PECOS2.8 mi

Elizabeth Thompson, CRNP-A

Nurse Practitioner

NPI 1225261019

3700 ODONNELL ST
Baltimore, MD 21224

(773) 292-4800

✔ PECOS2.8 mi

Shannon Alsop, DO

Family Practice

NPI 1003043803

150 S WARNER RD STE 310
King Of Prussia, PA 19406

(773) 292-4800

✔ PECOS✔ Accepts Medicare85 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Evernorth Care Providers - Delaware PA's NPI number?

The NPI number for Evernorth Care Providers - Delaware PA is 1063284032. It was assigned to this organization in the NPPES registry on October 24, 2023.

Where is Evernorth Care Providers - Delaware PA located?

Evernorth Care Providers - Delaware PA is located at 145 W Ostend St Ste 600, Baltimore, MD 21230. The listed phone number is (773) 292-4800.

What is Evernorth Care Providers - Delaware PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Evernorth Care Providers - Delaware PA enrolled in Medicare?

Yes. Evernorth Care Providers - Delaware PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evernorth Care Providers - Delaware PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Evernorth Care Providers - Delaware PA, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Evernorth Care Providers - Delaware PA was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.