MR. WENDY PHREUD EDMOND (AC-AGNP) – Acute Care Nurse Practitioner, NPI 1013458561

MR. WENDY PHREUD EDMOND (AC-AGNP) is a healthcare provider. based in Hollywood, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials AC-AGNP. They hold a License No. 64577 (NM). The NPI Number for MR. WENDY PHREUD EDMOND (AC-AGNP) is 1013458561

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. WENDY PHREUD EDMOND (AC-AGNP)
NPI
1013458561
Phone
(786) 290-3485
Address
1151 S PARK RD APT 110
Enumeration Date
16 March 2017
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5755567455
Graduation Year
2016 (10 years ago)
PAC ID
8224398110
Group Practice PAC ID
8123473600
Professional Enrollment ID
I20221028001637
Address ID
NM880118255LA4311XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:9State licenses:4Digital endpointsOther names

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180214002910INurse PractitionerFLTBD
I20211101003179INurse PractitionerDCTBD
I20211122000682INurse PractitionerMDTBD
I20211217001832INurse PractitionerVATBD
I20221028001637INurse PractitionerNMTBD
I20230525000464INurse PractitionerINTBD
I20240308000534INurse PractitionerCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3615$0
View full utilization report →

Insurance plans in this area (ZIP 33021)

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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: 8123473600View full group profile
NameSpecialtyState
H O S P I T A L I S TME
Emergency MedicineNM
Emergency MedicineNM
Certified Registered Nurse Anesthetist (Crna)HI
Certified Clinical Nurse Specialist (Cns)NM
Nurse PractitionerTX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TN
Family Practice, Family Practice, Emergency Medicine, Emergency MedicineTX
Nurse PractitionerNM

Reviews

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Frequently asked questions

Can I use this page to confirm MR. WENDY PHREUD EDMOND (AC-AGNP)'s NPI?
Yes. MR. WENDY PHREUD EDMOND (AC-AGNP) is listed with NPI 1013458561 in the public NPI dataset.
Is MR. WENDY PHREUD EDMOND (AC-AGNP) listed as active for patients and plans?
The listing shows MR. WENDY PHREUD EDMOND (AC-AGNP) as active in the NPI system.
What healthcare role does MR. WENDY PHREUD EDMOND (AC-AGNP) hold?
Scheduling teams often label MR. WENDY PHREUD EDMOND (AC-AGNP) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MR. WENDY PHREUD EDMOND (AC-AGNP)?
MR. WENDY PHREUD EDMOND (AC-AGNP)'s geographic hint is Hollywood, Florida in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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