MARK ROBERT DEBUSSY APRN
NPI 1407333164
Nurse Practitioner - Psychiatric/Mental Health in Newark, DE

Active since July 25, 2018PECOS EnrolledAccepts Medicare Assignment
232 GOLDFINCH TURN, NEWARK, DE 19711(302) 379-0899(302) 327-4197 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2022, Jan 1, 2021, Aug 2, 2020 and 3 more (6 updates tracked since 2018).

About Mark Robert Debussy Aprn NPPES

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

MARK ROBERT DEBUSSY APRN (NPI 1407333164) is an individual psychiatric/mental health provider in Newark, Delaware, licensed in Delaware (L8-0000176) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1407333164
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMARK ROBERT DEBUSSYCredential: APRN
Location Address232 GOLDFINCH TURNNewark, DE 19711-4112
Mailing Address232 Goldfinch TurnNewark, DE 19711-4112 · (302) 379-0899
Fax(302) 327-4197
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 25, 2018
Last NPPES UpdateJanuary 14, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
✔ NPI 1407333164 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
Licenses✔ Licensed in DE · L8-0000176✔ Licensed in MD · AC002383
232 GOLDFINCH TURN, Newark, DE 19711

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

Mark Robert Debussy Aprn 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 ID3577813492
PECOS Enrollment IDI20200715001797
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

2

Medicare enrollment records show Mark Debussy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
256 CHAPMAN RD STE 105-1
Newark, DE 19702
  • Reassigned Medicare billing, Delaware enrollment
Urology
137 W HIGH ST STE 2B
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.

Areas of Expertise CMS Part B claims 3

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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
140 services22 patients
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.
42 services16 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.
27 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19711 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.

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 Mark Debussy's NPI number?

The NPI number for Mark Debussy is 1407333164. It was assigned to this individual provider in the NPPES registry on July 25, 2018.

Where is Mark Debussy located?

Mark Debussy practices at 232 Goldfinch Turn, Newark, DE 19711. The listed phone number is (302) 379-0899.

What is Mark Debussy's specialty?

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

Is Mark Debussy enrolled in Medicare?

Yes. Mark Debussy 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 Mark Debussy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Debussy reassigns Medicare benefits to 2 organizations: Debussy And Associates Behavioral Health LLC (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 Mark Debussy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Debussy accept?

Health plans from AmeriHealth Caritas Next list Mark Debussy 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 Mark Debussy was last updated on January 14, 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.