BARBARA JEANNE STANLEY PMHNP-BC
NPI 1265691265
Nurse Practitioner - Psychiatric/Mental Health in Felton, DE

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment
10278 S DUPONT HWY, FELTON, DE 19943(302) 330-7727(302) 284-7100 Get Directions Write a Review

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Barbara Jeanne Stanley Pmhnp-bc NPPES

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

BARBARA JEANNE STANLEY PMHNP-BC (NPI 1265691265) is an individual psychiatric/mental health provider in Felton, Delaware, licensed in Delaware (L80000101) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1265691265
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameBARBARA JEANNE STANLEYCredential: PMHNP-BC
Location Address10278 S DUPONT HWYFelton, DE 19943-5626
Mailing Address10278 S Dupont HwyFelton, DE 19943-5626 · (302) 330-7727 · Fax (302) 284-7100
Fax(302) 284-7100
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 4, 2008
Last NPPES UpdateNovember 19, 2024
NPPES CertifiedNovember 19, 2024
✔ NPI 1265691265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in DE · L80000101
10278 S DUPONT HWY, Felton, DE 19943

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

Barbara Jeanne Stanley Pmhnp-bc 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.

PECOS PAC ID2860551561
PECOS Enrollment IDI20081111000062
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Barbara Stanley reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
10278 S DUPONT HWY
Felton, DE 19943
  • Reassigned Medicare billing, Delaware enrollment
  • 2 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
1131 AIRPORT RD
Milford, DE 19963
  • Reassigned Medicare billing, Delaware enrollment
  • 26 clinicians in this Medicare group
Psychiatric Hospital
725 HORSEPOND ROAD
Dover, DE 19901
  • Reassigned Medicare billing, Delaware enrollment
  • 15 clinicians in this Medicare group
Community/Behavioral Health
700 MAIN ST
Ellendale, DE 19941
  • Reassigned Medicare billing, Delaware enrollment
  • 7 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
194 services86 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services36 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
39 services39 patients
Telehealth originating site facility fee Q3014
The Telehealth originating site facility fee is a charge for the location where you receive your telehealth service, such as a clinic or hospital. It covers costs like equipment use, technical support, and other resources needed to provide a secure, effective telehealth visit.
35 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19943 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Psychiatric/Mental Health)
10278 S DUPONT HWY
FELTON, DE 19943

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 Barbara Stanley's NPI number?

The NPI number for Barbara Stanley is 1265691265. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Barbara Stanley located?

Barbara Stanley practices at 10278 S Dupont Hwy, Felton, DE 19943. The listed phone number is (302) 330-7727.

What is Barbara Stanley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Barbara Stanley enrolled in Medicare?

Yes. Barbara Stanley 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 Barbara Stanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barbara Stanley reassigns Medicare benefits to 4 organizations: Breakthrough Mental Health LLC (Felton, DE), People's Place II, Inc. (Milford, DE), Uhs Of Dover LLC (Dover, DE) and Recovery Innovations, Inc (Ellendale, DE). 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 Barbara Stanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barbara Stanley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Highmark Blue Cross Blue Shield Delaware list Barbara Stanley 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 Barbara Stanley was last updated on November 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.