JOANNA EDWARDS (MD) – Family Medicine Physician, NPI 1063947067

JOANNA EDWARDS (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in FAMILY PRACTICE, OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 036.153889 (IL). The NPI Number for JOANNA EDWARDS (MD) is 1063947067

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JOANNA EDWARDS (MD)
NPI
1063947067
Phone
(317) 355-5717
Address
10122 E 10TH ST
Enumeration Date
27 April 2017
Last Update Date
14 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6185923119
Graduation Year
2017 (9 years ago)
PAC ID
7911276456
Group Practice PAC ID
7719898071
Professional Enrollment ID
I20201012000804
Address ID
IL624491426OB104XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,862 FAMILY PRACTICE in IN

Provider Addresses for JOANNA EDWARDS (MD)

  • 10122 E 10TH ST

    STE 100

    INDIANAPOLIS, IN 462292663

    Phone: (317) 355-5717

    Type: Location

  • 6626 E 75TH ST

    STE 500

    INDIANAPOLIS, IN 462502805

    Phone:

    Type: Mailing

  • 1366 E 1050TH AVE

    OBLONG, IL 624492409

    Phone: (618) 592-3119

    Fax: (618) 546-2602

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 76 Open Payments records for all available years, with a total value of $1,178.

Total Amount is formed as General ($1,178) + Research ($0) + Ownership ($0) = $1,178.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($281).

Total Amount

$1,178

General + Research + Ownership

Payments

76

Total payment records

General Amount

$1,178

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

Latest reported date

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: 2020-10-12

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
I20201012000804IFamily PracticeILTBD

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.

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

Insurance plans in this area (ZIP 46229)

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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: 7719898071View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeIN
Nurse PractitionerIL
P A T H O L O G YOH
Interventional Radiology, Diagnostic RadiologyPA
Emergency MedicineIL
Orthopedic SurgeryWI
Hospitalist, Family Practice, Family PracticeIN
Emergency Medicine, Internal MedicineMS
Certified Registered Nurse Anesthetist (Crna)IL
Nurse PractitionerIL

Reviews

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Frequently asked questions

How do I look up JOANNA EDWARDS (MD) by NPI?
Use NPI 1063947067 when you need to reference JOANNA EDWARDS (MD) in forms, claims, or directories.
Is JOANNA EDWARDS (MD)'s NPI currently valid?
The extract we use shows JOANNA EDWARDS (MD) as active.
Does JOANNA EDWARDS (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for JOANNA EDWARDS (MD). Clinical services aligned with this taxonomy classification.
Where is JOANNA EDWARDS (MD)'s primary listing?
We display Indianapolis, Indiana because that is what the record indicates for JOANNA EDWARDS (MD).
Is JOANNA EDWARDS (MD) a real provider?
This page reflects official NPPES data for NPI 1063947067. Always confirm identity and privileges with the practice and licensing boards.

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