JENNIFER SHAWN EDGAR (APRN, BC) – Gerontology Nurse Practitioner, NPI 1013107366

JENNIFER SHAWN EDGAR (APRN, BC) is a healthcare provider. based in Lexington, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, BC. They hold a License No. 4704197458 (MI). The NPI Number for JENNIFER SHAWN EDGAR (APRN, BC) is 1013107366

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SHAWN EDGAR (APRN, BC)
NPI
1013107366
Phone
(517) 375-4035
Address
4251 Saron Dr
Enumeration Date
1 August 2007
Last Update Date
26 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8593403233
Graduation Year
2007 (19 years ago)
PAC ID
7618064056
Group Practice PAC ID
9234041948
Professional Enrollment ID
I20220210001007
Address ID
KY40509XXXXLEXXXXXXXXXX00
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for JENNIFER SHAWN EDGAR (APRN, BC)

  • 4251 Saron Dr

    Lexington, KY 405157005

    Phone: (517) 375-4035

    Fax: (734) 402-0254

    Type: Location

  • 36123, Schoolcraft Road, Livonia, Wayne County, Michigan, 48150, United States

    LIVONIA, MI 481501216

    Phone: (734) 464-0887

    Fax: (734) 402-0254

    Type: Location

  • PO BOX 639295 DEPT 93394

    CINCINNATI, OH 452639295

    Phone: (248) 266-4200

    Fax: (855) 618-6655

    Type: Mailing

  • 2452 SIR BARTON WAY STE 303

    LEXINGTON, KY 405092549

    Phone: (248) 266-4200

    Fax: (855) 618-6655

    Type: Location

  • 121 VERDANT TRL

    RICHMOND, KY 404758210

    Phone: (517) 375-4035

    Fax: (734) 402-0254

    Type: Mailing

  • 4251 SARON DR

    LEXINGTON, KY 405157005

    Phone: (517) 375-4035

    Fax: (734) 402-0254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $438.

Total Amount is formed as General ($438) + Research ($0) + Ownership ($0) = $438.

Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($180).

Total Amount

$438

General + Research + Ownership

Payments

15

Total payment records

General Amount

$438

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-04

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: 2022-02-10

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
I20220210001007INurse PractitionerKYTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes8230$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes3819$0
View full utilization report →

Insurance plans in this area (ZIP 40515)

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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: 9234041948View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JENNIFER SHAWN EDGAR (APRN, BC)?
The federal identifier for JENNIFER SHAWN EDGAR (APRN, BC) is NPI 1013107366.
Is JENNIFER SHAWN EDGAR (APRN, BC) currently active in the NPI registry?
CMS-published data lists JENNIFER SHAWN EDGAR (APRN, BC) as an active registrant.
Does JENNIFER SHAWN EDGAR (APRN, BC) list a primary specialty?
If you are matching referrals, note Gerontology Nurse Practitioner for JENNIFER SHAWN EDGAR (APRN, BC). Clinical services aligned with this taxonomy classification.
Where is JENNIFER SHAWN EDGAR (APRN, BC)'s primary listing?
We display Lexington, Kentucky because that is what the record indicates for JENNIFER SHAWN EDGAR (APRN, BC).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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