MEDICARE: NCBI PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1285593731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NCBI PC

Provider Business Mailing Address
First Line	:	1401 PENNSYLVANIA AVE
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19806-4124
Country	:	US
Telephone Number	:	614-983-1331
Fax Number	:	302-691-1487

Provider Business Practice Location Address
First Line	:	200 E CAMPUS VIEW BLVD STE 200
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-4678
Country	:	US
Telephone Number	:	614-983-1331
Fax Number	:	302-691-1487

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	ELIANA ALFORJA
Credential	:
Telephone Number	:	614-983-1331

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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