CONNIE EDELEN (MD) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1063620722

Hospice and Palliative Medicine (Family Medicine) Physician

CONNIE EDELEN (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in Hospice and Palliative Medicine (Family Medicine) Physician. They hold the professional credentials MD. They hold a License No. 2010-00028 (NC). The NPI Number for CONNIE EDELEN (MD) is 1063620722

Main info

Female

20 Years Of Experience

Accepts Medicare Assignment

Name

CONNIE EDELEN (MD)

NPI

1063620722

Phone

(904) 407-7700

Address

4266 SUNBEAM RD

Enumeration Date

18 May 2007

Last Update Date

8 May 2019

Doctor Profile

Medical School Name

UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE

Secondary Phone

9044077700

Graduation Year

2006 (20 years ago)

PAC ID

3779770383

Group Practice PAC ID

4688629454

Professional Enrollment ID

I20180312000625

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience75

Completeness75

Years active:19State licenses:3Digital endpointsOther names

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Provider Addresses for CONNIE EDELEN (MD)

Community Hospice and Palliative Care, 4266, Sunbeam Road, Goodbys, Jacksonville, Duval County, Florida, 32257, United States
JACKSONVILLE, FL 322572425
Phone: (904) 407-7700
Fax: (904) 407-6001
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)

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32257)

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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: 4688629454View full group profile

Name	Specialty	State
DR. ANA A SANCHEZ (MD)	-	FL
GENTINA VICTORIA KENNEDY (APRN)	Nurse Practitioner	FL
MS. MARY CATHERINE ANAST (APRN)	-	FL
SARAH ANN VOHRER (FNP-C)	Nurse Practitioner	FL
DANIEL JOHN KIELESZEWSKI (APRN)	Nurse Practitioner	FL
ASHLEY D SCHINNER (APRN)	Nurse Practitioner	FL
TIFFANY LYNNE ODELL (ARNP)	Nurse Practitioner	FL
PAULA J HOFFMAN (APRN)	-	FL
MS. MARY ELIZABETH OSTROSKA (APRN)	Nurse Practitioner	FL
LAURA YANTES (FNP)	Nurse Practitioner	FL

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Frequently asked questions

What is the registry number for CONNIE EDELEN (MD)?

The registry entry for CONNIE EDELEN (MD) shows NPI 1063620722.

Quick check: is CONNIE EDELEN (MD) active?

Public NPPES data shows CONNIE EDELEN (MD) with an active NPI status right now.

How should patients interpret CONNIE EDELEN (MD)'s specialty?

The extract shows Hospice and Palliative Medicine (Family Medicine) Physician for CONNIE EDELEN (MD). Clinical services aligned with this taxonomy classification.

What geographic area is tied to CONNIE EDELEN (MD)?

CONNIE EDELEN (MD) is associated with Jacksonville, Florida in the same public data insurers reference.

Who maintains CONNIE EDELEN (MD)'s record?

Providers certify NPPES data; CMS hosts the public file you are viewing.