NPIMap

Individual provider Active NPI

Alice R Edwards, D.O.

  • Neurology Physician
  • Springfield, MO
National Provider Identifier
1467895839
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2026031156 Issued in MO
Practice address
1965 S Fremont Ave
Springfield, MO 65804-2201
Phone
(417) 820-9055
NPI assigned
Apr 16, 2013
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2026031156 MO Primary

Addresses

Primary practice location

1965 S Fremont Ave
Springfield, MO 65804-2201

Mailing address

9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180802002861 CA Practitioner - NeurologyPractitioner - Pediatric Medicine 3072861392 Reassigns benefits to 2 organizations
I20250311003893 VA Practitioner - Neurology 3072861392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6161 Kempsville Cir
Suite 315
Norfolk, VA 23502-3932
Phone (757) 461-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.01 of 100Reported as group
Quality
86.78
Improvement activities
40
Cost
70.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102208982VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Consulants of Tidewater PLLC CurrentSince Jan 6, 2025 Accepting new patients
University of California San Francisco Neurology CurrentSince Jun 26, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jun 26, 2018 Accepting new patients
UCSF Medical Group Business Services Neurology CurrentSince Jun 26, 2018 Accepting new patients
Neurology Consultants of Tidewater, PLLC Neurology CurrentSince Jan 6, 2025 Accepting new patients
University of California San Francisco CurrentSince Jun 26, 2018 Accepting new patients
University of California San Francisco Current Accepting new patients
Neurology Consultants of Tidewater, PLLC Neurology Past Accepting new patients

Locations

1500 Owens St
San Francisco, CA 94158
Phone (415) 353-2808

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

6161 Kempsville Cir
Ste 315
Norfolk, VA 23502
Phone (757) 461-5400

Organizations & group practices 8

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 3

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1467895839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 SW BARNES RD STE 461",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256643",
            "fax_number": "631-444-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S FREMONT AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042201",
            "telephone_number": "417-820-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ALICE",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-16",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "2026031156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.