Jennifer Edwards

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

2001 E Highway 20
Niceville, FL 32578-8826

Phone

(850) 897-4400

NPI assigned

Jun 5, 2015

Last updated

Jun 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Skin Surgery and Dermatology, PLGroup PAC ID 3173715869, 15 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.71 of 100Reported as group

Quality

97.78

Promoting interoperability

100

Improvement activities

40

Cost

77.93

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jedwards@coastalskinsurgery.emadirect.md

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.

• Coastal Skin Surgery and Dermatology, PL

  • MOHS-Micrographic Surgery Physician
  • Miramar Beach, FL
  • NPI 1114238193
  Medicare reassignment Care Compare group
• John Cottam MD PA

  • Dermatology Physician
  • Tampa, FL
  • NPI 1982860045
  Medicare reassignment
• John Cottam MD PA

  • Dermatology Physician
  • Lady Lake, FL
  • NPI 1013685031
  NPD
• John Cottam MD PA

  • Dermatology Physician
  • Chiefland, FL
  • NPI 1437871548
  NPD
• Gregory Winfield Turner Sr MD PA

  • Internal Medicine Physician
  • Niceville, FL
  • NPI 1699927848
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1487034344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E HIGHWAY 20",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325788826",
            "telephone_number": "850-897-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Easterling
• Allison Easterly, DPT
• Michael P Ederer, DO
• Christopher Edmonsond, MPT
• Jennifer Edwards
• Eklund Psychological Services, LLC
• Kathryn Eklund
• Ashlee Ellard
• Jillian E. Ellison, D.M.D
• Kristi Kay Elston, RN

• Medical Physician Assistant in Niceville, FL
• Providers in Niceville, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.