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ECLIPSE WELLNESS LLC
NPI 1245992262
Pain Medicine - Pain Medicine in Wilmington, DE

Active since October 07, 2021CLIA 08D2290549 · Waiver
623 W NEWPORT PIKE, WILMINGTON, DE 19804(302) 777-5473(302) 777-5483 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2023, Dec 22, 2021, Oct 7, 2021 (3 updates tracked since 2021).

About Eclipse Wellness Llc NPPES

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

ECLIPSE WELLNESS LLC (NPI 1245992262) is a healthcare organization registered as a pain medicine in Wilmington, Delaware and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through September 26, 2027 and lists Amanda Luckanish, Owner, as its authorized official.

NPPES Registry Identity

NPI1245992262
Entity TypeOrganization
Primary Taxonomy208VP0000X
Legal Business NameECLIPSE WELLNESS LLC
Location Address623 W NEWPORT PIKEWilmington, DE 19804-3235
Mailing Address623 W Newport PikeWilmington, DE 19804-3235 · (302) 777-5473
Phone(302) 777-5473
Fax(302) 777-5483
Organization SubpartNo
Authorized OfficialAmanda LuckanishOwner · (484) 919-1607
Enumeration DateOctober 7, 2021
Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
✔ NPI 1245992262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0000X
Definition
Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
623 W NEWPORT PIKE, Wilmington, DE 19804
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Other Identifiers 1

Medicaid250694990DE

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eclipse Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eclipse Wellness LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shadara King, AGNP-C
Nurse Practitioner
NPI 1093286015
3214 CHARLES B ROOT WYND STE 203
Raleigh, NC 27612
(919) 877-6800
✔ PECOS315 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D2290549

Eclipse Wellness · Wilmington, DE
Active · expires Sep 26, 2027
CLIA Number08D2290549
Laboratory TypeNurse Practitioner Office
Certificate Effective DateSeptember 27, 2025
Certificate Expiration DateSeptember 26, 2027
Laboratory DirectorAmanda F. Luckanish
Laboratory Phone(302) 777-5473
Laboratory LocationEclipse Wellness623 W Newport Pike, Wilmington, DE 19804
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Eclipse Wellness LLC's NPI number?

The NPI number for Eclipse Wellness LLC is 1245992262. It was assigned to this organization in the NPPES registry on October 7, 2021.

Where is Eclipse Wellness LLC located?

Eclipse Wellness LLC is located at 623 W Newport Pike, Wilmington, DE 19804. The listed phone number is (302) 777-5473.

What is Eclipse Wellness LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.

Is Eclipse Wellness LLC enrolled in Medicare?

Yes. Eclipse Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eclipse Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Eclipse Wellness LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Eclipse Wellness LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2290549) is associated with this NPI, valid through September 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Eclipse Wellness LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Eclipse Wellness LLC 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.

When was this NPI record last updated?

The NPPES record for Eclipse Wellness LLC was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.