BRANDYWINE FAMILY MEDICINE, PA
NPI 1619081627
Family Medicine in Wilmington, DE
About Brandywine Family Medicine, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDYWINE FAMILY MEDICINE, PA (NPI 1619081627) is a healthcare organization registered as a family medicine in Wilmington, Delaware and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Valerie A. Elener, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brandywine Family Medicine, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brandywine Family Medicine, PA, which bills Medicare for the services this clinician delivers.
Clinician (1)
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
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 08D0917497
Brandywine Family Medicine · Wilmington, DEFrequently 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 Brandywine Family Medicine, PA's NPI number?
The NPI number for Brandywine Family Medicine, PA is 1619081627. It was assigned to this organization in the NPPES registry on August 18, 2006.
Where is Brandywine Family Medicine, PA located?
Brandywine Family Medicine, PA is located at 2500 Grubb Rd Suite 212, Wilmington, DE 19810. The listed phone number is (302) 475-5000.
What is Brandywine Family Medicine, PA's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brandywine Family Medicine, PA enrolled in Medicare?
Yes. Brandywine Family Medicine, PA is registered in the Medicare PECOS enrollment system.
When is Brandywine Family Medicine, PA's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Delaware, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Brandywine Family Medicine, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Brandywine Family Medicine, PA. 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.
Does Brandywine Family Medicine, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 08D0917497) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Brandywine Family Medicine, PA accept?
Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Brandywine Family Medicine, PA 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 Brandywine Family Medicine, PA was last updated on February 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Brandywine Family Medicine, Pa · NPI 1619081627
Family Medicine organization in Wilmington, Delaware. Organization record, active in the CMS NPPES registry since August 18, 2006.
## Identity
- **NPI:** 1619081627 (Entity type: Organization)
- **Enumerated:** August 18, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Valerie Elener, OWNER
## Practice location
- **Address:** 2500 GRUBB RD, SUITE 212, Wilmington, DE 19810-4799
- **Phone:** (302) 475-5000 · **Fax:** (302) 475-5200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Delaware, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2013
- **Other identifiers:** Medicaid 0000712202 (DE); Medicare PIN 857557 (DE)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619081627) · Data from the CMS NPPES public registry.