Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Legates, PMHNP-BC

Individual provider Registered Nurse · NPI 1073089801

Jeremy Legates, PMHNP-BC is a Nurse Practitioner in Dover, Delaware. Qualified in 2023, 3 years ago. Practices with The Mind and Body Consortium, LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Delaware.

Years since qualifying
3
Licensed in
DE
In the registry since
2018
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1305 Mcd Dr
Dover, DE 19901-4699
Phone: (302) 883-2926
Fax: (302) 883-3799
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence L8-0010461 (DE)
Registered Nurse Taxonomy 163W00000X · Licence L1-0054237 (DE)

Record details

NPI number1073089801
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedOctober 19, 2018
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Mind And Body Consortium, Llc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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