Individual provider Active NPI

Kassandra J. Stoffer, FNP

  • Family Nurse Practitioner
  • Wilmington, NC
National Provider Identifier
1225366461
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
196695 Issued in NC
Practice address
3803 Peachtree Ave
Wilmington, NC 28403
Phone
(910) 799-6262
NPI assigned
Nov 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 196695 NC Primary

Addresses

Primary practice location

3803 Peachtree Ave
Wilmington, NC 28403

Mailing address

3803 Peachtree Ave
Wilmington, NC 28403-6727
Phone (910) 799-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100327000262 NC Practitioner - Nurse Practitioner 4486780640 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. CurrentSince Jul 1, 2013 Accepting new patients
Duke University Affiliated Physicians, Inc. Current Accepting new patients
Patient Centered Care, PLLC Family CurrentSince Oct 1, 2018 Accepting new patients
Duke University Affiliated Physicians, Inc. CurrentSince Jul 1, 2013 Accepting new patients

Locations

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

5917 Oleander Dr
Ste 202
Wilmington, NC 28403
Phone (910) 409-8958

3803 Peachtree Ave
Wilmington, NC 28403
Phone (910) 313-2111

Interoperability endpoints

  • Direct secure messaging: kassandra.stoffer.1@14072.direct.athenahealth.com
  • Direct secure messaging: kstoffer@3efc1d06.micromddirect.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1225366461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3803 PEACHTREE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036727",
            "telephone_number": "910-799-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 PEACHTREE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28403",
            "telephone_number": "910-799-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOFFER",
        "first_name": "KASSANDRA",
        "middle_name": "J.",
        "name_prefix": "Prof.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-30",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "196695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.