AVE MARIA FAMILY PRACTICE, PLLC
NPI 1215205539
Family Medicine in Wilmington, NC
About Ave Maria Family Practice, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVE MARIA FAMILY PRACTICE, PLLC (NPI 1215205539) is a healthcare organization registered as a family medicine in Wilmington, North Carolina and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 7, 2027 and lists Dorothy Ejinkonye Agbafe-mosley, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ave Maria Family Practice, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Ave Maria Family Practice, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 34D2042505
Ave Maria Family Practice, PLLC · Wilmington, NCFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ave Maria Family Practice, PLLC's NPI number?
The NPI number for Ave Maria Family Practice, PLLC is 1215205539. It was assigned to this organization in the NPPES registry on December 1, 2011.
Where is Ave Maria Family Practice, PLLC located?
Ave Maria Family Practice, PLLC is located at 1230 Medical Center Dr, Wilmington, NC 28401. The listed phone number is (910) 799-5452.
What is Ave Maria Family Practice, PLLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ave Maria Family Practice, PLLC enrolled in Medicare?
Yes. Ave Maria Family Practice, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ave Maria Family Practice, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ave Maria Family Practice, PLLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ave Maria Family Practice, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 34D2042505) is associated with this NPI, valid through December 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Ave Maria Family Practice, PLLC accept?
Health plans from Blue Cross and Blue Shield of NC list Ave Maria Family Practice, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ave Maria Family Practice, PLLC was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ave Maria Family Practice, Pllc · NPI 1215205539
Family Medicine organization in Wilmington, North Carolina. Organization record, active in the CMS NPPES registry since December 1, 2011.
## Identity
- **NPI:** 1215205539 (Entity type: Organization)
- **Enumerated:** December 1, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Dorothy Agbafe-Mosley, MEDICAL DIRECTOR
## Practice location
- **Address:** 1230 MEDICAL CENTER DR, Wilmington, NC 28401
- **Phone:** (910) 799-5452 · **Fax:** (910) 799-5479
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 17, 2018
- **Other identifiers:** Medicaid 5915683 (NC)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1215205539) · Data from the CMS NPPES public registry.