EDSON E CHARLES (NP) – Certified Registered Nurse Anesthetist, NPI 1417683178

EDSON E CHARLES (NP) is a healthcare provider. based in Travis afb, California. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials NP. They hold a License No. 0020575 (OH). The NPI Number for EDSON E CHARLES (NP) is 1417683178

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
EDSON E CHARLES (NP)
NPI
1417683178
Phone
Not provided
Address
101 BODIN CIR
Enumeration Date
26 July 2022
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9167738780
Graduation Year
2022 (4 years ago)
PAC ID
8729443288
Group Practice PAC ID
6103270566
Professional Enrollment ID
I20230505000842
Address ID
CA956612815RO4XXXXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,456 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in CA

Provider Addresses for EDSON E CHARLES (NP)

  • 101 BODIN CIR

    TRAVIS AFB, CA 945351809

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Chiesi USA, Inc. ($26).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-05-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230505000842ICertified Registered Nurse Anesthetist (Crna)CATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery3535$0
00811Anesthesia for other procedure on large bowel using an endoscope2929$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1313$0
View full utilization report →

Insurance plans in this area (ZIP 94535)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103270566View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CA

Reviews

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Frequently asked questions

Can I cross-check EDSON E CHARLES (NP) using NPI 1417683178?
NPI 1417683178 belongs to EDSON E CHARLES (NP); compare other details if you need extra assurance.
Is there an active status for EDSON E CHARLES (NP)?
For scheduling context, EDSON E CHARLES (NP) is shown as active in the registry.
What kind of doctor is EDSON E CHARLES (NP)?
EDSON E CHARLES (NP) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is EDSON E CHARLES (NP) located near Travis Afb?
EDSON E CHARLES (NP) currently maps to Travis Afb, California in this extract.
Does EDSON E CHARLES (NP) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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