MR. WENDY PHREUD EDMOND (AC-AGNP) – Acute Care Nurse Practitioner, NPI 1013458561
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. WENDY PHREUD EDMOND (AC-AGNP)
1151 S PARK RD APT 110
HOLLYWOOD, FL 330218793
Phone: (786) 290-3485
Type: Mailing
9299 SW 152ND ST STE 203
PALMETTO BAY, FL 331571776
Phone: (305) 322-4166
Type: Location
1055 N Curtis Rd
Boise, ID 837061309
Phone: (208) 302-2000
Fax: (208) 302-2055
Type: Location
3178 Stirling Rd Unit J7
Hollywood, FL 330212058
Phone: (786) 290-3485
Type: Location
1111 Ronald Reagan Pkwy
Avon, IN 461237085
Phone: (317) 217-2888
Fax: (317) 962-3916
Type: Location
8745 N Wickham Rd
Melbourne, FL 329405997
Phone: (321) 434-9230
Type: Location
3178 STIRLING RD UNIT J7
HOLLYWOOD, FL 330212058
Phone: (786) 290-3485
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-03-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180214002910 | I | Nurse Practitioner | FL | TBD |
| I20211101003179 | I | Nurse Practitioner | DC | TBD |
| I20211122000682 | I | Nurse Practitioner | MD | TBD |
| I20211217001832 | I | Nurse Practitioner | VA | TBD |
| I20221028001637 | I | Nurse Practitioner | NM | TBD |
| I20230525000464 | I | Nurse Practitioner | IN | TBD |
| I20240308000534 | I | Nurse Practitioner | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 15 | $0 |
Insurance plans in this area (ZIP 33021)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | ME | |
| Emergency Medicine | NM | |
| Emergency Medicine | NM | |
| Certified Registered Nurse Anesthetist (Crna) | HI | |
| Certified Clinical Nurse Specialist (Cns) | NM | |
| Nurse Practitioner | TX | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| Family Practice, Family Practice, Emergency Medicine, Emergency Medicine | TX | |
| Nurse Practitioner | NM |
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