FADER MEDICAL GROUP LLC
NPI 1710762430
Nurse Practitioner - Family in Bear, DE

Active since August 30, 2023
21 ROSE HILL DR, BEAR, DE 19701(302) 897-0633 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fader Medical Group Llc NPPES

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

FADER MEDICAL GROUP LLC (NPI 1710762430) is a healthcare organization registered as a family in Bear, Delaware and active in the NPI registry since August 2023. The organization lists William Fader, Owner, as its authorized official.

NPPES Registry Identity

NPI1710762430
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFADER MEDICAL GROUP LLC
Location Address21 ROSE HILL DRBear, DE 19701-2398
Mailing Address21 Rose Hill DrBear, DE 19701-2398
Organization SubpartNo
Authorized OfficialWilliam FaderOwner · (302) 897-0633
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1710762430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
21 ROSE HILL DR, Bear, DE 19701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Fader Medical Group Llc 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 Fader Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1497420855
4515 GRIFFIN DR
Wilmington, DE 19808
(302) 999-7364
✔ PECOS✔ Accepts Medicare12 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 Fader Medical Group LLC's NPI number?

The NPI number for Fader Medical Group LLC is 1710762430. It was assigned to this organization in the NPPES registry on August 30, 2023.

Where is Fader Medical Group LLC located?

Fader Medical Group LLC is located at 21 Rose Hill Dr, Bear, DE 19701. The listed phone number is (302) 897-0633.

What is Fader Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Fader Medical Group LLC enrolled in Medicare?

Yes. Fader Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fader Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fader Medical Group LLC. 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 Fader Medical Group LLC accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Fader Medical Group LLC 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 Fader Medical Group LLC was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.