Individual provider Active NPI

Gillian Edwards, FNP

  • Family Nurse Practitioner
  • Ogdensburg, NY
National Provider Identifier
1609544337
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
348000 Issued in NY
Practice address
5 Lyon PL
Ogdensburg, NY 13669-2586
Phone
(315) 393-2314
Fax
(315) 393-3873
NPI assigned
Aug 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 348000 NY Primary

Addresses

Primary practice location

5 Lyon PL
Ogdensburg, NY 13669-2586

Mailing address

5 Lyon PL
Ogdensburg, NY 13669-2586
Phone (315) 393-2314

Other practice location 1

3 Bridge St
Carthage, NY 13619-1360
Phone (315) 493-1000

Other practice location 2

214 King St Ste A
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

Other identifiers 1

IdentifierTypeStateIssuer
06850251MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20210923000258 NY Practitioner - Nurse Practitioner 8921405630 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carthage Area Hospital Inc 119 clinicians

Practice addresses (Care Compare)

214 King St
Suite a
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

Hospital & facility affiliations

  • Carthage Area Hospital, Inc Hospital, Ogdensburg, NY, CCN 331324
  • Carthage Area Hospital, Inc Hospital, Carthage, NY, CCN 331318
  • Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
  • Gouverneur Hospital Hospital, Gouverneur, NY, CCN 331315
  • SLHS Massena, Inc Hospital, Massena, NY, CCN 331322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
348000NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Claxton Medical PC CurrentSince Sep 3, 2021 Accepting new patients
Claxton Medical PC Family CurrentSince Sep 3, 2021 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Carthage Area Hospital Inc CurrentSince May 24, 2025 Accepting new patients
Carthage Area Hospital Inc CurrentSince May 24, 2025 Accepting new patients
Carthage Area Hospital Inc. Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

3 Bridge St
Carthage, NY 13619
Phone (315) 493-3300

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

3 Lyon Pl
Ste 200
Ogdensburg, NY 13669
Phone (315) 394-7542

5 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 393-2314

214 King St
Ste A
Ogdensburg, NY 13669
Phone (315) 713-5660

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

Organizations & group practices 20

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 20

Hospital & facility affiliations 6

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": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1609544337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LYON PL",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692586",
            "telephone_number": "315-393-2314",
            "fax_number": "315-393-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LYON PL",
            "city": "OGDENSBURG",
            "state": "NY",
            "postal_code": "136692586",
            "telephone_number": "315-393-2314",
            "fax_number": "315-393-3873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Bridge St",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "NY",
            "postal_code": "136191360",
            "country_code": "US",
            "telephone_number": "315-493-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 King St Ste A",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136691142",
            "country_code": "US",
            "telephone_number": "315-393-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GILLIAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "348000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06850251",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogdensburg, NY

Sources for this page

Verify at the official NPI Registry.