Individual provider Active NPI

Danielle Lynn Edwards, PA-C

  • Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1861037582
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0008736 Issued in CO
Practice address
1701 N Senate Blvd # Ag373A
Indianapolis, IN 46202-1239
Phone
(317) 962-8880
Fax
(317) 962-5492
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10002861A IN
Physician Assistant 363A00000X PA.0008736 CO Primary

Addresses

Primary practice location

1701 N Senate Blvd # Ag373A
Indianapolis, IN 46202-1239

Mailing address

1701 N Senate Blvd # Ag373A
Indianapolis, IN 46202-1239
Phone (317) 962-8880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NH, VT3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250117001700 CO Practitioner - Physician Assistant 9931532876 Reassigns benefits to 1 organization
I20251218002133 NH Practitioner - Physician Assistant 9931532876 Reassigns benefits to 6 organizations
I20260109001087 VT Practitioner - Physician Assistant 9931532876 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dartmouth-Hitchcock ClinicGroup PAC ID 4183537509, 1,445 clinicians
Alice Peck Day Memorial HospitalGroup PAC ID 6103737531, 132 clinicians
Windsor Hospital CorporationGroup PAC ID 2860387214, shared by 6 NPIs, 56 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

10 Alice Peck Day Dr
Lebanon, NH 03766-2900
Phone (603) 448-3121

289 County Rd
Windsor, VT 05089-9000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0008736COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Colorado, PC Physician Assistant CurrentSince Jan 1, 2025 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2026 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Dec 22, 2025 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2026 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Dec 22, 2025 Accepting new patients
Alice Peck Day Memorial Hospital CurrentSince Feb 4, 2026 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Dec 22, 2025 Accepting new patients
Alice Peck Day Memorial Hospital Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Dec 22, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Dec 22, 2025 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2026 Accepting new patients
Windsor Hospital Corporation CurrentSince Jan 1, 2026 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Dec 22, 2025 Accepting new patients
The New London Hospital Association, Inc. CurrentSince Dec 22, 2025 Accepting new patients
University Medical Diagnostic Associates, Inc. Past Accepting new patients
The New London Hospital Association, Inc. Past Accepting new patients

Locations

1801 16th St
Ste 100
Greeley, CO 80631

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

2000 70th Ave
Greeley, CO 80634
Phone (970) 352-7366

2000 Boise Ave
Loveland, CO 80538
Phone (970) 635-4071

615 Fairhurst St
Ste 100
Sterling, CO 80751

10 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-7440

5 Alice Peck Day Dr
Lebanon, NH 03766
Phone (603) 448-3996

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

273 County Rd
New London, NH 03257
Phone (603) 526-5215

289 County Rd
Windsor, VT 05089
Phone (802) 674-7220

Interoperability endpoints

  • FHIR API: https://edhwebportal.hitchcock.org/FHIRProxy/api/FHIR/R4/

Organizations & group practices 17

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 17

Hospital & facility affiliations 8

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": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1861037582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD # AG373A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-8880",
            "fax_number": "317-962-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE BLVD # AG373A",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021239",
            "telephone_number": "317-962-8880",
            "fax_number": "317-962-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "DANIELLE",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10002861A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.