Individual provider Active NPI

Roxanna Edwards

  • Medical Physician Assistant
  • Delray Beach, FL
National Provider Identifier
1215698097
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
16215 S Jog Rd Ste 100
Delray Beach, FL 33446-2387
Phone
(561) 303-0013
NPI assigned
Jan 4, 2022
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

16215 S Jog Rd Ste 100
Delray Beach, FL 33446-2387

Mailing address

16215 S Jog Rd Ste 100
Delray Beach, FL 33446-2387

Other practice location 1

3200 S University Dr
Davie, FL 33328-2018
Phone (954) 262-1250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231101000477 FL Practitioner - Physician Assistant 6709232457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Hendry County Hospital AuthorityGroup PAC ID 8022912435, 17 clinicians

Practice addresses (Care Compare)

500 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 983-3434

524 W Sagamore Ave
Clewiston, FL 33440-3514

530 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 902-3069

532 W Sagamore Ave
Clewiston, FL 33440-3514
Phone (863) 902-3026

540 W Sagamore Ave
Hendry Regional Specialty Group
Clewiston, FL 33440-3514
Phone (863) 983-5026

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hendry County Hospital Authority CurrentSince Jul 6, 2025 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Oct 30, 2023 Accepting new patients

Locations

500 W Sagamore Ave
Clewiston, FL 33440
Phone (863) 902-3032

524 W Sagamore Ave
Clewiston, FL 33440
Phone (800) 494-3984

16215 S Jog Rd
Ste 100
Delray Beach, FL 33446
Phone (561) 303-0013

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1215698097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16215 S JOG RD STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16215 S JOG RD STE 100",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462387",
            "telephone_number": "561-303-0013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3200 S University Dr",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333282018",
            "country_code": "US",
            "telephone_number": "954-262-1250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROXANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.