Active NPI
Susan Sobel
- Nurse Practitioner
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5006922
- Practice address
- 1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019 - Phone
- (910) 794-5355
- Fax
- (910) 794-5358
- NPI assigned
- Nov 20, 2012
- 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 | 5006922 | NC | Primary |
Addresses
Primary practice location
1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019
Mailing address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 948-0291
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
- Vanderbilt University School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
1717 Shipyard Blvd
Suite 100
Wilmington, NC 28403-8019
Phone (910) 794-5355
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006922 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Summit Plastic Surgery & Dermatology, PLLC | Current | Accepting new patients | |
| Summit Cosmetic Surgery Center,PA | Current | Accepting new patients | |
| Emergeortho PA | Current | Accepting new patients | |
| Plastic Surgery Associates of Tidewater, Inc. | Past | Accepting new patients |
Locations
4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081
120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836
14057 US Highway 17
Ste 130
Hampstead, NC 28443
1333 S Dickinson Dr
Leland, NC 28451
Phone (910) 332-0241
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
902 N Howe St
Southport, NC 28461
Phone (910) 457-4789
58 Physicians Dr NW
Ste 103
Supply, NC 28462
Phone (910) 794-5355
1717 Shipyard Blvd
Ste 100
Wilmington, NC 28403
Phone (910) 794-5355
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
Interoperability endpoints
- ssobel259299@direct.novanthealth.org
- https://api.platform.athenahealth.com/20910/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
- Dermatology Physician
- Wilmington, NC
- NPI 1437749330
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
-
- Surgery Physician
- Wilmington, NC
- NPI 1922061092
-
- Specialist
- Chesapeake, VA
- NPI 1295822351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785974400000",
"number": "1588908149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 EXCHANGE CT STE 110",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334314450",
"telephone_number": "561-948-0291",
"fax_number": "561-859-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SHIPYARD BLVD STE 100",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284038019",
"telephone_number": "910-794-5355",
"fax_number": "910-794-5358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBEL",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-20",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5006922",
"primary": true
}
],
"identifiers": [],
"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 Aug 6, 2026; 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.