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

Miss. Nicole Marie Dirienzo, PA-C

Individual provider Physician Assistant · NPI 1356995245

Miss. Nicole Marie Dirienzo, PA-C is a Physician Assistant in Wilmington, Delaware. Qualified in 2019, 7 years ago. Practices with Christiana Care Quality Partners, a 96-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Delaware and New Jersey.

Years since qualifying
7
Licensed in
DE, NJ
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3926 Kirkwood Hwy
Wilmington, DE 19808-5110
Phone: (302) 998-2417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence C5-0001326 (DE)
Physician Assistant Taxonomy 363A00000X · Licence C5-0001326 (DE)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 25MP00536300 (NJ)

Record details

NPI number1356995245
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2019
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Christiana Care Quality Partners — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

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