DENISE RENEE' JONES
NPI 1992290266
Nurse Practitioner in Georgetown, DE
About Denise Renee' Jones NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENISE RENEE' JONES (NPI 1992290266) is an individual nurse practitioner in Georgetown, Delaware, licensed in Delaware (LG-00011117) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 3
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
Denise Renee' Jones 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.
Medicare Billing Reassignments
3Medicare enrollment records show Denise Jones reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seaford, DE 19973
- Reassigned Medicare billing, Delaware enrollment
- 8 clinicians in this Medicare group
Georgetown, DE 19947
- Reassigned Medicare billing, Delaware enrollment
- 31 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 64 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19947 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GEORGETOWN, DE 19947
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 Denise Jones's NPI number?
The NPI number for Denise Jones is 1992290266. It was assigned to this individual provider in the NPPES registry on June 28, 2018.
Where is Denise Jones located?
Denise Jones practices at 21444 Carmean Way, Georgetown, DE 19947. The listed phone number is (302) 855-1233.
What is Denise Jones's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Denise Jones enrolled in Medicare?
Yes. Denise Jones 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 Denise Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denise Jones reassigns Medicare benefits to 3 organizations: Ambient Medical Care, LLC (Seaford, DE), La Red Health Center, Inc. (Georgetown, DE) and Nephrology Associates PA (Newark, DE). 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 Denise Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Denise Jones accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Denise Jones 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 Denise Jones was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Denise Renee' Jones · NPI 1992290266
Nurse Practitioner physician in Georgetown, Delaware. Individual provider, active in the CMS NPPES registry since June 28, 2018.
## Identity
- **NPI:** 1992290266 (Entity type: Individual)
- **Enumerated:** June 28, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** LG-00011117 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 21444 CARMEAN WAY, Georgetown, DE 19947-4572
- **Phone:** (302) 855-1233
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ambient Medical Care, LLC (NPI 1053583559, Seaford, DE); La Red Health Center, Inc. (NPI 1154084002, Georgetown, DE); Nephrology Associates PA (NPI 1407805203, Newark, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** September 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1992290266) · Data from the CMS NPPES public registry.