Individual provider Active NPI

Amy Elizabeth Sage, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1730463902
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000803 Issued in DE
Practice address
4755 Ogletown Stanton Road
Christiana Hospital
Newark, DE 19718-2200
Phone
(302) 733-1000
NPI assigned
Oct 5, 2011
Last updated
Jul 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054326 PA
Physician Assistant 363A00000X C5-0000803 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Road
Christiana Hospital
Newark, DE 19718-2200

Mailing address

4755 Ogletown Stanton Road
Newark, DE 19718-2200

Other practice location 1

701 N Clayton St
Wilmington, DE 19805-3155
Phone (302) 354-5157

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.sage@direct.4.mycarefile.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20120326000511 DE Practitioner - Physician Assistant 8123288305 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054326PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital Inc CurrentSince Sep 15, 2018 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 19, 2016 Accepting new patients
Christiana Care Health Services Inc CurrentSince Oct 19, 2016 Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Ste 200
Wilmington, DE 19805
Phone (302) 575-8040

Interoperability endpoints

  • Direct secure messaging: amy.sage@direct.4.mycarefile.org
  • Direct secure messaging: asage2014023@direct.trinity-health.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1730463902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON ROAD",
            "address_2": "CHRISTIANA HOSPITAL",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 N Clayton St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198053155",
            "country_code": "US",
            "telephone_number": "302-354-5157",
            "fax_number": "302-421-4367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAGE",
        "first_name": "AMY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-05",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054326",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.sage@direct.4.mycarefile.org",
            "affiliation": "N",
            "endpointDescription": "St. Francis Hospital direct emil address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "701 N Clayton St",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198053155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.