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EDDA E DIDONATO FAMILY NP
NPI 1306253281
Nurse Practitioner in Georgetown, DE

Active since July 12, 2014PECOS EnrolledAccepts Medicare Assignment
10 W LAUREL ST, GEORGETOWN, DE 19947(302) 855-0915(302) 855-0914 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Mar 7, 2024, Aug 19, 2021 and 1 more (4 updates tracked since 2019).

About Edda E Didonato Family Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDDA E DIDONATO FAMILY NP (NPI 1306253281) is an individual nurse practitioner in Georgetown, Delaware, licensed in Delaware (LG-0000765) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1306253281
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEDDA E DIDONATOCredential: FAMILY NP
Location Address10 W LAUREL STGeorgetown, DE 19947-1424
Mailing Address10 W Laurel StGeorgetown, DE 19947-1424 · (302) 855-0915 · Fax (302) 855-0914
Phone(302) 855-0915
Fax(302) 855-0914
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 12, 2014
Last NPPES UpdateApril 9, 20244 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1306253281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in DE · LG-0000765
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License LG-0000765 (DE)
10 W LAUREL ST, Georgetown, DE 19947
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Other Names 1

Professional Name (2)Edda E Vargas Didonato Family Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edda E Didonato Family Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698077238
PECOS Enrollment IDI20160113001987
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
160 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
99 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
60 services60 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19947 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SEAFORD INTERNAL MEDICINE LLC
Durable Medical Equipment & Medical Supplies
10 W LAUREL ST
GEORGETOWN, DE 19947
Sussex County (302) 855-0915
DC MEDICAL SERVICES, LLC
Internal Medicine
10 W LAUREL ST
GEORGETOWN, DE 19947
Sussex County (302) 855-0915
JONA D. GORRA M.D,
Internal Medicine
10 W LAUREL ST
GEORGETOWN, DE 19947
Sussex County (302) 855-0915
MRS. NANCY MARIE SMITH CRNP
Nurse Practitioner (Family)
10 W LAUREL ST
GEORGETOWN, DE 19947
Sussex County (302) 855-0915

Frequently 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 Edda Didonato's NPI number?

The NPI number for Edda Didonato is 1306253281. It was assigned to this individual provider in the NPPES registry on July 12, 2014. The provider is also known as Edda E Vargas Didonato Family Np.

Where is Edda Didonato located?

Edda Didonato practices at 10 W Laurel St, Georgetown, DE 19947. The listed phone number is (302) 855-0915.

What is Edda Didonato's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Edda Didonato enrolled in Medicare?

Yes. Edda Didonato is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Edda Didonato accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Edda Didonato 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.

Is Edda Didonato affiliated with any hospitals?

According to CMS data, Edda Didonato is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Edda Didonato was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.