LOWER SHORE IMMEDIATE CARE OF SELBYVILLE
NPI 1265115562
Clinic/Center - Urgent Care in Selbyville, DE

Active since August 11, 2023CLIA 08D2288601 · Waiver
38229 DUPONT BLVD, SELBYVILLE, DE 19975(410) 651-0300 Get Directions Write a Review

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

Record update history: Aug 18, 2026, Jul 1, 2024, Jun 25, 2024 and 1 more (4 updates tracked since 2023).

About Lower Shore Immediate Care Of Selbyville NPPES

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

LOWER SHORE IMMEDIATE CARE OF SELBYVILLE (NPI 1265115562) is a healthcare organization registered as an urgent care in Selbyville, Delaware and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through August 28, 2027 and lists Kevin Mull, Owner, as its authorized official.

NPPES Registry Identity

NPI1265115562
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameLOWER SHORE IMMEDIATE CARE OF SELBYVILLE
Location Address38229 DUPONT BLVDSelbyville, DE 19975-3045
Mailing Address38229 Dupont BlvdSelbyville, DE 19975-3045 · (410) 651-0300
Organization SubpartNo
Authorized OfficialKevin MullOwner · (410) 651-0300
Enumeration DateAugust 11, 2023
Last NPPES UpdateAugust 18, 20264 updates tracked since enumeration
NPPES CertifiedAugust 18, 2026
✔ NPI 1265115562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
Also ListedClinic/Center · Occupational MedicineTaxonomy 261QX0100X
38229 DUPONT BLVD, Selbyville, DE 19975

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lower Shore Immediate Care Of Selbyville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Lower Shore Immediate Care Of Selbyville, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1033193479
LOWER SHORE IMMEDIATE CARE OF SELBYVILLE 38229 DUPONT BLVD
Selbyville, DE 19975
(302) 433-6440
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1801429543
2425 N SALISBURY BLVD
Salisbury, MD 21801
(410) 334-6351
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1235960402
100 E CARROLL ST
Salisbury, MD 21801
(410) 543-6400
✔ PECOS✔ Accepts Medicare21 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 2

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 08D2288601

Lower Shore Immediate Care Of Selbyville · Selbyville, DE
Active · expires Aug 28, 2027
CLIA Number08D2288601
Laboratory TypeUrgent Care
Certificate Effective DateAugust 29, 2025
Certificate Expiration DateAugust 28, 2027
Laboratory DirectorAaron Green
Laboratory Phone(410) 713-2525
Laboratory LocationLower Shore Immediate Care Of Selbyville38229 Dupont Blvd, Selbyville, DE 19975
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2120583

Lower Shore Immediate Care · Princess Anne, MD
Expired · Oct 18, 2026
CLIA Number21D2120583
Laboratory TypeUrgent
Certificate Effective DateOctober 19, 2024
Certificate Expiration DateOctober 18, 2026
Laboratory DirectorAaron Green
Laboratory Phone(410) 651-0300
Laboratory LocationLower Shore Immediate Care12302 Somerset Ave Suite A/B, Princess Anne, MD 21853
CLIA data matches this NPI record on: 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 Lower Shore Immediate Care Of Selbyville's NPI number?

The NPI number for Lower Shore Immediate Care Of Selbyville is 1265115562. It was assigned to this organization in the NPPES registry on August 11, 2023.

Where is Lower Shore Immediate Care Of Selbyville located?

Lower Shore Immediate Care Of Selbyville is located at 38229 Dupont Blvd, Selbyville, DE 19975. The listed phone number is (410) 651-0300.

What is Lower Shore Immediate Care Of Selbyville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Lower Shore Immediate Care Of Selbyville enrolled in Medicare?

Yes. Lower Shore Immediate Care Of Selbyville is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lower Shore Immediate Care Of Selbyville?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Lower Shore Immediate Care Of Selbyville. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Lower Shore Immediate Care Of Selbyville hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D2288601) is associated with this NPI, valid through August 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lower Shore Immediate Care Of Selbyville accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Lower Shore Immediate Care Of Selbyville 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 Lower Shore Immediate Care Of Selbyville was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.