Individual provider Active NPI

Gia Ann Edge, FNP

  • Family Nurse Practitioner
  • Cape Coral, FL
National Provider Identifier
1699150326
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9292812 Issued in FL
Practice address
413 Del Prado Blvd S Ste 101
Cape Coral, FL 33990-5703
Phone
(239) 443-1500
Fax
(239) 443-1510
NPI assigned
Jul 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9292812 FL
Family Nurse Practitioner 363LF0000X ARNP9292812 FL Primary

Addresses

Primary practice location

413 Del Prado Blvd S Ste 101
Cape Coral, FL 33990-5703

Mailing address

900 Village Square Xing Ste 290
Palm Beach Gardens, FL 33410-4552

Other identifiers 1

IdentifierTypeStateIssuer
ARNP9292812OtherFLMEDICAL LICENSE

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
I20151215000572 FL Practitioner - Nurse Practitioner 9830490937 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aqua Dermatology of Florida, PAGroup PAC ID 1153390414, 184 clinicians

Practice addresses (Care Compare)

413 Del Prado Blvd S
Cape Coral, FL 33990-5713
Phone (239) 443-1500

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9292812FLMDRegistered Nurse
ARNP9292812FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Medicine & Surgery LLC Family CurrentSince Jun 28, 2021 Accepting new patients
American Mobile Dermatology LLC CurrentSince Jan 14, 2021 Accepting new patients
Lisa D Zack MD PA CurrentSince Apr 26, 2021 Accepting new patients
Aqua Dermatology of Florida, PA CurrentSince Aug 1, 2023 Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology CurrentSince Aug 1, 2023 Accepting new patients
Florida Coastal Surgery Center, Inc Past Accepting new patients

Locations

25987 S Tamiami Trl
Ste 90
Bonita Springs, FL 34134
Phone (239) 444-3201

1054 Gateway Blvd
Ste 106
Boynton Beach, FL 33426

1054 Gateway Blvd
Ste 110
Boynton Beach, FL 33426
Phone (407) 913-0001

2366 Surfside Blvd
Ste C111
Cape Coral, FL 33991
Phone (239) 360-2795

413 Del Prado Blvd S
Ste 101
Cape Coral, FL 33990
Phone (239) 443-1500

19910 S Tamiami Trl
Ste B
Estero, FL 33928
Phone (239) 263-1717

10201 Arcos Ave
Ste 203
Estero, FL 33928
Phone (239) 390-3376

7331 Gladiolus Dr
Fort Myers, FL 33908
Phone (239) 437-8810

801 Anchor Rode Dr
Ste 100
Naples, FL 34103
Phone (239) 263-1717

1015 Crosspointe Dr
Naples, FL 34110
Phone (239) 596-9075

900 Village Square Xing
Ste 290
West Palm Beach, FL 33410
Phone (239) 313-2517

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: gedge@aquadermatology.emadirect.md

Organizations & group practices 6

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.

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": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1699150326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 VILLAGE SQUARE XING STE 290",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334104552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 DEL PRADO BLVD S STE 101",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339905703",
            "telephone_number": "239-443-1500",
            "fax_number": "239-443-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "GIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9292812",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9292812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP9292812",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.