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MR. EDWIN JOSEPH SOKALSKI APRN
NPI 1316457641
Nurse Practitioner - Psychiatric/Mental Health in Wilmington, DE

Active since September 30, 2017PECOS EnrolledAccepts Medicare Assignment
5598 KIRKWOOD HWY, WILMINGTON, DE 19808(302) 636-1100(302) 636-1100 Get Directions Write a Review

NPPES record last updated: September 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Edwin Joseph Sokalski Aprn NPPES

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

MR. EDWIN JOSEPH SOKALSKI APRN (NPI 1316457641) is an individual psychiatric/mental health provider in Wilmington, Delaware, licensed in Delaware (L8-0000154) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1316457641
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. EDWIN JOSEPH SOKALSKICredential: APRN
Location Address5598 KIRKWOOD HWYWilmington, DE 19808-5002
Mailing Address100 Rockford DrNewark, DE 19713-2120 · 30263611100 · Fax (302) 636-1100
Phone(302) 636-1100
Fax(302) 636-1100
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 30, 2017
✔ NPI 1316457641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in DE · L8-0000154
5598 KIRKWOOD HWY, Wilmington, DE 19808
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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

Mr. Edwin Joseph Sokalski Aprn 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 ID6507126778
PECOS Enrollment IDI20180207003029
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 3

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.
222 services33 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
59 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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.

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 Edwin Sokalski's NPI number?

The NPI number for Edwin Sokalski is 1316457641. It was assigned to this individual provider in the NPPES registry on September 30, 2017.

Where is Edwin Sokalski located?

Edwin Sokalski practices at 5598 Kirkwood Hwy, Wilmington, DE 19808. The listed phone number is (302) 636-1100.

What is Edwin Sokalski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Edwin Sokalski enrolled in Medicare?

Yes. Edwin Sokalski 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 Edwin Sokalski 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 Edwin Sokalski 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 Edwin Sokalski was last updated on September 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.