Active NPI
Edith Lynne Saffo, NP
- Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 105120
- Practice address
- 1124 Gallery Park Boulevard
#200
Wilmington, NC 28412 - Phone
- (910) 341-3300
- Fax
- (910) 251-2067
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 105120 | NC | Primary |
Addresses
Primary practice location
1124 Gallery Park Boulevard
#200
Wilmington, NC 28412
Mailing address
2421 Silver Stream Lane
Wilmington, NC 28401-0000
Phone (910) 395-3477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500022278 | Other | NC | RAILROAD MEDICARE |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
1222 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540
1300 Bridge Barrier Rd
Suite 2
Carolina Beach, NC 28428-3939
Phone (910) 341-1540
9101 Ocean Hwy E
Leland, NC 28451-7867
Phone (910) 341-1540
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.79 of 100
- Quality
- 57.61
- Promoting interoperability
- 87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105120 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wilmington Health PLLC | Current | Accepting new patients | |
| Wha Medical Clinic PLLC | Current | Accepting new patients | |
| Wilmington Health PLLC | Current | Accepting new patients | |
| Wilmington ASC LLC | Current | Accepting new patients |
Locations
1124 Gallery Park Ln
Wilmington, NC 28412
Phone (910) 341-3389
2511 Delaney Ave
Wilmington, NC 28403
Phone (910) 667-9328
2421 Silver Stream Ln
Wilmington, NC 28401
Phone (910) 763-2072
1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705
8064 Market St
Wilmington, NC 28411
Phone (910) 341-3389
8108 Market St
#B
Wilmington, NC 28411
Phone (910) 686-2099
Interoperability endpoints
- edith.saffo.p1@direct.wilmingtonhealth.nextgenshare.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.
-
- Multi-Specialty Clinic/Center
- Wilmington, NC
- NPI 1881632339
-
- Endoscopy Clinic/Center
- Wilmington, NC
- NPI 1083889091
-
- Ambulatory Surgical Clinic/Center
- Wilmington, NC
- NPI 1548456478
-
- Specialist
- Leland, NC
- NPI 1780859736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1235296013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 SILVER STREAM LANE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284010000",
"telephone_number": "910-395-3477",
"fax_number": "910-815-3479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 GALLERY PARK BOULEVARD",
"address_2": "#200",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "28412",
"telephone_number": "910-341-3300",
"fax_number": "910-251-2067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFFO",
"first_name": "EDITH",
"middle_name": "LYNNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "105120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "500022278",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.