RANDY ALEX EDWARDS (CRNP) – Nurse Practitioner, NPI 1144947284

RANDY ALEX EDWARDS (CRNP) is a healthcare provider. based in Jupiter, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. APRN11033304 (FL). The NPI Number for RANDY ALEX EDWARDS (CRNP) is 1144947284

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
RANDY ALEX EDWARDS (CRNP)
NPI
1144947284
Phone
(872) 231-3162
Address
674 PIONEER RD
Enumeration Date
19 October 2022
Last Update Date
4 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7725634580
Graduation Year
2022 (4 years ago)
PAC ID
0244602308
Group Practice PAC ID
9234130329
Professional Enrollment ID
I20240815004656
Address ID
FL329605012VE3450XCTXX304

Contacts

Secure Messaging
RAN02148@cerner.directbaptisthealth.com
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness95
Years active:3State licenses:2Other names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for RANDY ALEX EDWARDS (CRNP)

  • 674 PIONEER RD

    JUPITER, FL 334589011

    Phone: (872) 231-3162

    Type: Location

  • PO BOX 734951

    CHICAGO, IL 606734951

    Phone: (702) 899-0595

    Fax: (702) 977-1496

    Type: Mailing

  • 10330 NUVISTA AVE

    WELLINGTON, FL 334149365

    Phone: (872) 231-3162

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2024-08-29 • Largest payer in this snapshot: ATRICURE, INC. ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ATRICURE, INC.$21
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: 2024-08-15

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
I20240815004656INurse PractitionerFLTBD

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
Q4217Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter73011$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes7116$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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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: 9234130329View full group profile
NameSpecialtyState
N E U R O L O G YNJ
-FL
-FL
R H E U M A T O L O G YOH
Family PracticeWI
Critical Care (Intensivists), Pulmonary DiseaseOH
Orthopedic SurgeryFL
-FL
Infectious DiseaseFL
Family PracticeFL

Reviews

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Frequently asked questions

What is the standard ID for RANDY ALEX EDWARDS (CRNP) in the U.S.?
In the U.S., RANDY ALEX EDWARDS (CRNP) is identified by NPI 1144947284.
Does the public listing show RANDY ALEX EDWARDS (CRNP) as active?
RANDY ALEX EDWARDS (CRNP)'s NPI record reflects an active status in NPPES.
How should patients interpret RANDY ALEX EDWARDS (CRNP)'s specialty?
The extract shows Nurse Practitioner for RANDY ALEX EDWARDS (CRNP). Clinical services aligned with this taxonomy classification.
What city is tied to RANDY ALEX EDWARDS (CRNP)?
The directory associates RANDY ALEX EDWARDS (CRNP) with Jupiter, Florida. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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