Individual provider Active NPI

Melissa R Edwards, PA-C

  • Physician Assistant
  • Addison, IL
National Provider Identifier
1821587171
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.009890 Issued in IL
Practice address
303 W Lake St
Addison, IL 60101-2586
Phone
(630) 527-3645
NPI assigned
May 2, 2018
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.009890 IL Primary

Addresses

Primary practice location

303 W Lake St
Addison, IL 60101-2586

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040

Other practice location 1

932 Lake St
Oak Park, IL 60301-1204
Phone (630) 527-3645

Other practice location 2

6701 US Highway 34
Oswego, IL 60543-9129
Phone (630) 527-3645

Other practice location 3

1804 N Naper Blvd
Naperville, IL 60563-8830
Phone (630) 527-3645

Other practice location 4

8 Salt Creek Ln
Hinsdale, IL 60521-2903
Phone (630) 527-3645

Other identifiers 1

IdentifierTypeStateIssuer
100077662MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20231018000855 IL Practitioner - Physician Assistant 1759632326 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Edward HospitalGroup PAC ID 0042108110, 98 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

6701 US Hwy 34
Oswego, IL 60543-9129
Phone (630) 646-4255

801 S Washington St
Naperville, IL 60540-7430
Phone (312) 355-0450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.009890ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Hospital CurrentSince Dec 18, 2023 Accepting new patients
Edward Health Ventures CurrentSince Nov 1, 2023 Accepting new patients
Endeavor Health Medical Group CurrentSince Jan 1, 2024 Accepting new patients
Elmhurst Memorial Hospital CurrentSince Dec 18, 2023 Accepting new patients
Edward Hospital CurrentSince Dec 18, 2023 Accepting new patients
Edward Health Ventures CurrentSince Nov 1, 2023 Accepting new patients

Locations

303 W Lake St
Addison, IL 60101
Phone (331) 221-1705

303 W Lake St
Ste 301
Addison, IL 60101
Phone (331) 221-1650

130 N Weber Rd
Bolingbrook, IL 60440
Phone (630) 646-5770

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

8 Salt Creek Ln
Hinsdale, IL 60521
Phone (331) 221-2500

3033 Ogden Ave
Ste 101
Lisle, IL 60532
Phone (630) 646-6200

120 Spalding Dr
Ste 101
Naperville, IL 60540
Phone (630) 527-7730

120 Spalding Dr
Ste 310
Naperville, IL 60540
Phone (630) 527-5575

1804 N Naper Blvd
Naperville, IL 60563
Phone (630) 646-5770

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

932 Lake St
Oak Park, IL 60301
Phone (331) 221-1700

6701 US Highway 34
Oswego, IL 60543
Phone (630) 646-4200

Interoperability endpoints

  • FHIR API: https://fhirprd.edward.org/fhirprd/api/FHIR/R4/
  • Direct secure messaging: medwards223354@direct.myadvocateaurora.org
  • Direct secure messaging: medwards265269@direct.edward.org

Organizations & group practices 7

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": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1821587171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE STE 1223",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012586",
            "telephone_number": "630-527-3645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "932 Lake St",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603011204",
            "country_code": "US",
            "telephone_number": "630-527-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 US Highway 34",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "IL",
            "postal_code": "605439129",
            "country_code": "US",
            "telephone_number": "630-527-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1804 N Naper Blvd",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605638830",
            "country_code": "US",
            "telephone_number": "630-527-3645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Salt Creek Ln",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605212903",
            "country_code": "US",
            "telephone_number": "630-527-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MELISSA",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100077662",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.