EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1457138182
General Practice in Philadelphia, PA
About Evernorth Care Providers - Delaware Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERNORTH CARE PROVIDERS - DELAWARE PA (NPI 1457138182) is a healthcare organization registered as a general practice in Philadelphia, Pennsylvania and active in the NPI registry since September 2023. The organization lists Jacqueline D Lakes, Senior Paralegal, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Evernorth Care Providers - Delaware Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Evernorth Care Providers - Delaware PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Evernorth Care Providers - Delaware PA's NPI number?
The NPI number for Evernorth Care Providers - Delaware PA is 1457138182. It was assigned to this organization in the NPPES registry on September 14, 2023.
Where is Evernorth Care Providers - Delaware PA located?
Evernorth Care Providers - Delaware PA is located at 100 N 18th Street Suite 300, Philadelphia, PA 19103. The listed phone number is (773) 292-4800.
What is Evernorth Care Providers - Delaware PA's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Evernorth Care Providers - Delaware PA enrolled in Medicare?
Yes. Evernorth Care Providers - Delaware PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Evernorth Care Providers - Delaware PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Evernorth Care Providers - Delaware PA, in Family Practice and Nurse Practitioner. 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.
When was this NPI record last updated?
The NPPES record for Evernorth Care Providers - Delaware PA was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Evernorth Care Providers - Delaware Pa · NPI 1457138182
General Practice organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since September 14, 2023.
## Identity
- **NPI:** 1457138182 (Entity type: Organization)
- **Enumerated:** September 14, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Jacqueline Lakes, SENIOR PARALEGAL
## Practice location
- **Address:** 100 N 18TH STREET, SUITE 300, Philadelphia, PA 19103
- **Phone:** (773) 292-4800 · **Fax:** (312) 564-4059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457138182) · Data from the CMS NPPES public registry.