LIGHTHOUSE COMMUNITY SUPPORT
NPI 1568280592
Nurse Practitioner in Dover, DE

Active since September 30, 2024
600 W DIVISION ST UNIT B, DOVER, DE 19904(267) 815-4350 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2026, Sep 30, 2024 (2 updates tracked since 2024).

About Lighthouse Community Support NPPES

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

LIGHTHOUSE COMMUNITY SUPPORT (NPI 1568280592) is a healthcare organization registered as a nurse practitioner in Dover, Delaware and active in the NPI registry since September 2024. The organization lists Martona Moody, Owner, as its authorized official.

NPPES Registry Identity

NPI1568280592
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameLIGHTHOUSE COMMUNITY SUPPORT
Location Address600 W DIVISION ST UNIT BDover, DE 19904-2702
Mailing Address600 W Division St Unit BDover, DE 19904-2702 · (267) 815-4350
Organization SubpartNo
Authorized OfficialMartona MoodyOwner · (302) 777-5473
Enumeration DateSeptember 30, 2024
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1568280592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
600 W DIVISION ST UNIT B, Dover, DE 19904

Other Identifiers 1

Medicaid1831481761DE

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)

Lighthouse Community Support 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 Lighthouse Community Support, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1831481761
700 MARVEL RD
Milford, DE 19963
(302) 422-3303
✔ PECOS18 mi

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 Lighthouse Community Support's NPI number?

The NPI number for Lighthouse Community Support is 1568280592. It was assigned to this organization in the NPPES registry on September 30, 2024.

Where is Lighthouse Community Support located?

Lighthouse Community Support is located at 600 W Division St Unit B, Dover, DE 19904. The listed phone number is (267) 815-4350.

What is Lighthouse Community Support's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lighthouse Community Support enrolled in Medicare?

Yes. Lighthouse Community Support is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lighthouse Community Support?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lighthouse Community Support. 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.

What insurance does Lighthouse Community Support accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Lighthouse Community Support 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 Lighthouse Community Support was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.