EDITH STANFORD PMHNP
NPI 1144978255
Nurse Practitioner - Psychiatric/Mental Health in Newark, DE
NPI Status: Active since March 17, 2022
- Individual
- Female
- Nurse Practitioner
- Psychiatric/Mental Health
- Accepts Insurance
- PECOS Enrolled
About EDITH STANFORD
This page provides the complete NPI Profile along with additional information for Edith Stanford, a provider established in Newark, Delaware with a medical specialization in Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1144978255 assigned on March 2022. The practitioner's primary taxonomy code is 363LP0808X with license number L8-0010307 (DE). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1144978255
- Provider Name
- EDITH STANFORD PMHNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 100 ROCKFORD DR NEWARK, DE 19713
- Location Phone
- (302) 996-5480
- Mailing Address
- 34 SPRING WAY CAMDEN WYOMING, DE 19934
- Mailing Phone
- (302) 257-9420
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-17-2022
- Last Update Date
- 03-17-2022
- Code Navigator
A nurse practitioner (NP) like Edith Stanford is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Psychiatric/Mental Health
- Taxonomy Code
- 363LP0808X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- L8-0010307
- License State
- DE
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
- my Blue Access PPO Gold 0 - PPO
- my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Gold 1700 HSA - PPO
- my Blue Access PPO Premier Gold 0 - PPO
- my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Edith Stanford is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19713 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 4 | 4 | 9 | 7 | 8 | 2 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 8 | 4 | 18 | 7 | 16 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 8 + 4 + 1 + 8 + 7 + 1 + 6 + 2 + 1 + 0 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1144978255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1639199169 | DR. ALEXANDER M. JACOBSON M.D. Individual | Psychiatry & Neurology (Psychiatry) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1841383718 | PRAFUL DESAI M.D. Individual | Psychiatry & Neurology (Psychiatry) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 738-7040 |
| 1154636355 | DR. BECKY WONG PHARM.D. Individual | Pharmacist (Psychiatric) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 892-4241 |
| 1356582720 | DR. DIANA E GERMOSEN M.D. Individual | Psychiatry & Neurology (Psychiatry) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1003127101 | DR. AYESHA SILMAN M.D. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1689106080 | EMILY MARIE BEWLEY LCSW Individual | Social Worker (Clinical) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 892-4485 |
| 1407260177 | DR. NISHA WITHANE M.D. Individual | Psychiatry & Neurology (Psychiatry) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1154941029 | MR. BALFOUR ANTHONY GORE Individual | Nurse Practitioner (Psychiatric/Mental Health) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1275695355 | ROCKFORD CENTER Organization | Psychiatric Hospital | 100 ROCKFORD DR NEWARK, DE 19713 (302) 892-4204 |
| 1942273552 | UHS OF ROCKFORD LLC Organization | Psychiatric Hospital | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1215368410 | JOSHUA MENARD Individual | Registered Nurse (Psychiatric/Mental Health) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1659054773 | MELANIE MICHON PALMER NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1720834708 | UHS OF ROCKFORD LLC Organization | Psychiatric Hospital | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
| 1124271135 | DR. JOHANNA MOJICA PHARMD Individual | Pharmacist | 100 ROCKFORD DR NEWARK, DE 19713 (302) 996-5480 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144978255, enumerated in the NPI registry as an "individual" on March 17, 2022
The provider is located at 100 Rockford Dr Newark, De 19713 and the phone number is (302) 996-5480
The provider's speciality is Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health
The provider might be accepting Accepts: Aetna CVS Health, Ambetter from Home State Health,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $88.37 with an average copayment of $22.09 for new patient appointments. Established patients should expect a typical charge of $100.68 and an average copayment of 25.17. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on March 17, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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