Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn Rena Smith

Individual provider Family Nurse Practitioner · NPI 1023893393

Carolyn Rena Smith is a Nurse Practitioner in Wilmington, Delaware. Qualified in 2022, 4 years ago. Practices with Daniel Funsch Jr, MD, PC, a 128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Delaware.

Years since qualifying
4
Licensed in
DE
In the registry since
2023
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Practice location Address checks out

1624 Jessup St
Wilmington, DE 19802-4210
Phone: (302) 552-3574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence LG-0012438 (DE)

Record details

NPI number1023893393
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2023
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address6 Bancroft Rd, New Castle, DE 19720-8848

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Daniel Funsch Jr, M.D., P.C. — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Wilmington