ERICA WAPLES MD
NPI 1164082475
Internal Medicine in Newark, DE
About Erica Waples Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICA WAPLES MD (NPI 1164082475) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0027529) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Erica Waples Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Erica Waples reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 460 clinicians in this Medicare group
Elkton, MD 21921
- Reassigned Medicare billing, Maryland enrollment
- 512 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Union Hospital Of Cecil County
Acute Care Hospitals · Elkton, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
NEWARK, DE 19718
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 Erica Waples's NPI number?
The NPI number for Erica Waples is 1164082475. It was assigned to this individual provider in the NPPES registry on June 18, 2019.
Where is Erica Waples located?
Erica Waples practices at 4755 Ogletown Stanton Road Suite 5a43, Newark, DE 19718. The listed phone number is (302) 623-0188.
What is Erica Waples's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Erica Waples enrolled in Medicare?
Yes. Erica Waples is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Erica Waples's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Erica Waples reassigns Medicare benefits to 2 organizations: Christiana Care Health Services Inc (Newark, DE) and Union Hospital Of Cecil County, Inc. (Elkton, MD). Each 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 Erica Waples's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Erica Waples accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Erica Waples as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Erica Waples affiliated with any hospitals?
According to CMS data, Erica Waples is affiliated with Union Hospital Of Cecil County.
When was this NPI record last updated?
The NPPES record for Erica Waples was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Erica Waples, MD · NPI 1164082475
Internal Medicine physician in Newark, Delaware. Individual provider, active in the CMS NPPES registry since June 18, 2019.
## Identity
- **NPI:** 1164082475 (Entity type: Individual)
- **Enumerated:** June 18, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** C1-0027529 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 4755 OGLETOWN STANTON ROAD, SUITE 5A43, Newark, DE 19718-2200
- **Phone:** (302) 623-0188 · **Fax:** (302) 733-5640
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Christiana Care Health Services Inc (NPI 1245474329, Newark, DE); Union Hospital Of Cecil County, Inc. (NPI 1407607450, Elkton, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York Downstate Medical Center, class of 2019
## Record status
- **NPPES last updated:** January 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164082475) · Data from the CMS NPPES public registry.