Individual provider Active NPI

Jennifer Catherine Edge

  • Certified Registered Nurse Anesthetist
  • Wilmington, NC
National Provider Identifier
1669521670
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
161423 Issued in NC
Practice address
1801 S 17TH St
Wilmington, NC 28401-6443
Phone
(910) 763-4555
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 161423 NC Primary

Addresses

Primary practice location

1801 S 17TH St
Wilmington, NC 28401-6443

Mailing address

1801 S 17TH St
Wilmington, NC 28401-6443
Phone (910) 763-4555

Other practice location 1

1305 Glen Meade Rd
Wilmington, NC 28401-7369
Phone (910) 815-6100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jedge76753@direct.nhrmc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080213000743 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769565720 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Duke University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Practice addresses (Care Compare)

1305 Glen Meade Rd
Wilmington, NC 28401-7369
Phone (910) 815-6100

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1616NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pender Memorial Hospital Incorporated Current Accepting new patients
Wilmington ASC LLC CurrentSince May 1, 2025 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Feb 27, 2018 Accepting new patients
Surgery Center Anesthesia Providers PC Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
American Anesthesiology of North Carolina, PLLC Anesthesiology CurrentSince Feb 27, 2018 Accepting new patients
Wilmington Health PLLC CurrentSince May 1, 2025 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Feb 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2021 Accepting new patients
Pender Memorial Hospital, Incorporated CurrentSince Aug 29, 2024 Accepting new patients
Pender Memorial Hospital Incorporated CurrentSince Aug 29, 2024 Accepting new patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jan 15, 2018 Accepting new patients
Durham Anesthesia Associates PA Nurse Anesthetist, Certified Registered Past Accepting new patients
Regional Anesthesia, PLLC Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451

320 Lillington Ave
Ste 101
Charlotte, NC 28204
Phone (704) 332-1574

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

3100 Spring Forest Rd
Ste 130
Raleigh, NC 27616
Phone (919) 882-0705

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

1919 S 16th St
Wilmington, NC 28401
Phone (910) 763-9334

1305 Glen Meade Rd
Wilmington, NC 28401
Phone (910) 815-6100

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

2305 Canterwood Dr
Wilmington, NC 28401
Phone (910) 343-0119

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

1801 S 17th St
Wilmington, NC 28401
Phone (910) 763-4555

1802 S 17th St
Wilmington, NC 28401
Phone (910) 343-1031

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1669521670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016443",
            "telephone_number": "910-763-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016443",
            "telephone_number": "910-763-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Glen Meade Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017369",
            "country_code": "US",
            "telephone_number": "910-815-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGE",
        "first_name": "JENNIFER",
        "middle_name": "CATHERINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "161423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jedge76753@direct.nhrmc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "2131 S 17th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.