GWYNN STUP (A.P.R,N.) – Clinical Nurse Specialist, NPI 1942242664

GWYNN STUP (A.P.R,N.) is a healthcare provider. based in Dover, Delaware. specializing in NURSE PRACTITIONER. They hold the professional credentials A.P.R,N.. They hold a License No. LE-0000166 (DE). The NPI Number for GWYNN STUP (A.P.R,N.) is 1942242664

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
GWYNN STUP (A.P.R,N.)
NPI
1942242664
Phone
(302) 222-8304
Address
1326 S GOVERNORS AVE
Enumeration Date
11 June 2006
Last Update Date
5 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3026741397
Graduation Year
2004 (22 years ago)
PAC ID
5193754703
Group Practice PAC ID
1456408897
Professional Enrollment ID
I20050804000245
Address ID
DE199047325DO121XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,273 NURSE PRACTITIONER in DE

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Provider Addresses for GWYNN STUP (A.P.R,N.)

  • 1326, South Governors Avenue, Crossgates, Dover, Kent County, Delaware, 19904, United States

    STE C

    DOVER, DE 199044800

    Phone: (302) 222-8304

    Fax: (302) 736-1280

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $474.

Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($153).

Total Amount

$474

General + Research + Ownership

Payments

23

Total payment records

General Amount

$474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050804000245INurse PractitionerDETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8727$0
Q3014Telehealth originating site facility fee5622$0
99214Established patient office or other outpatient visit, 30-39 minutes4413$0
View full utilization report →

Insurance plans in this area (ZIP 19904)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1456408897View full group profile
NameSpecialtyState
Clinical Social WorkerMD
Mental Health CounselorDE
P S Y C H I A T R YDE
P S Y C H I A T R YDE
-DE
Nurse PractitionerTX
Mental Health CounselorDE
Clinical Social WorkerDE
Mental Health CounselorDE
Clinical Social WorkerMD

Reviews

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Frequently asked questions

What is the 10-digit NPI for GWYNN STUP (A.P.R,N.)?
GWYNN STUP (A.P.R,N.) — NPI 1942242664 — is the standard way to identify this listing.
Does CMS list GWYNN STUP (A.P.R,N.) as active?
Yes — GWYNN STUP (A.P.R,N.) is active in the NPI listing used on this page.
What is GWYNN STUP (A.P.R,N.)'s primary classification?
Clinical Nurse Specialist is the headline specialty for GWYNN STUP (A.P.R,N.) here. Clinical services aligned with this taxonomy classification.
What address line appears for GWYNN STUP (A.P.R,N.)?
GWYNN STUP (A.P.R,N.)'s geographic hint is Dover, Delaware in our summary view.
Why does GWYNN STUP (A.P.R,N.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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