JORDAN EDWARDS (MD) – Hospitalist Physician, NPI 1154613677

JORDAN EDWARDS (MD) is a healthcare provider. based in Coeur d alene, Idaho. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD60522010 (WA). The NPI Number for JORDAN EDWARDS (MD) is 1154613677

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN EDWARDS (MD)
NPI
1154613677
Phone
Not provided
Address
2003 KOOTENAI HEALTH WAY
Enumeration Date
3 May 2011
Last Update Date
7 August 2025

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
2086254000
Graduation Year
2011 (15 years ago)
PAC ID
7911131149
Group Practice PAC ID
1355792276
Professional Enrollment ID
I20250507002726
Address ID
ID838146051CO2003XWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:15State licenses:2Digital endpointsOther names

1,282 HOSPITALIST in GA

Provider Addresses for JORDAN EDWARDS (MD)

  • 2003 KOOTENAI HEALTH WAY

    COEUR D ALENE, ID 838146051

    Phone:

    Type: Mailing

  • 1061 HARMON AVE

    FORT STEWART, GA 313145641

    Phone: (912) 435-6965

    Type: Location

  • 235 W 6th St

    Reno, NV 895034548

    Phone: (775) 770-6490

    Type: Location

  • 2003 Kootenai Health Way

    Coeur D Alene, ID 838146051

    Phone: (208) 625-4000

    Type: Location

  • 7590 MIRAMAR RD STE C

    SAN DIEGO, CA 921264232

    Phone: (858) 549-4255

    Type: Mailing

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 $26.

Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.

Last reported payment date: 2024-08-15 • Largest payer in this snapshot: Boston Scientific Corporation ($26).

Total Amount

$26

General + Research + Ownership

Payments

1

Total payment records

General Amount

$26

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-15

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: 2025-05-07

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20150115002386IHospitalistWATBD
I20250507002726IHospitalistIDTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg24041$0
99213Established patient office or other outpatient visit, 20-29 minutes7648$0
20610Aspiration and/or injection of fluid from large joint3521$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance2621$0
View full utilization report →

Insurance plans in this area (ZIP 83814)

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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: 1355792276View full group profile
NameSpecialtyState
Emergency MedicineNY
Emergency MedicineID
Physician AssistantID
Family PracticeID
Cardiovascular Disease (Cardiology)TX
Pulmonary Disease, Critical Care (Intensivists)ID
Nurse PractitionerID
Nurse PractitionerID
E N D O C R I N O L O G YID
Registered Dietitian Or Nutrition ProfessionalID

Reviews

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Frequently asked questions

What identifier follows JORDAN EDWARDS (MD) across health systems?
The NPI 1154613677 uniquely identifies JORDAN EDWARDS (MD) in U.S. healthcare data.
Should I treat JORDAN EDWARDS (MD) as an active provider?
Patients and plans typically see JORDAN EDWARDS (MD) as active in the national extract.
What type of care does JORDAN EDWARDS (MD) provide?
JORDAN EDWARDS (MD)'s profile centers on Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is JORDAN EDWARDS (MD) tied to Coeur D Alene, Idaho?
If you are local to Coeur D Alene, Idaho, JORDAN EDWARDS (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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