MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) – Family Nurse Practitioner, NPI 1396964102

MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) is a healthcare provider. based in Manchester, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN,FNP-BC,RFNA,CNO. They hold a License No. 1090669 (KY). The NPI Number for MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) is 1396964102

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO)
NPI
1396964102
Phone
(606) 598-8766
Address
204 TOWN BRANCH RD
Enumeration Date
24 April 2007
Last Update Date
19 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065941769
Graduation Year
2015 (11 years ago)
PAC ID
3971899766
Group Practice PAC ID
2961790167
Professional Enrollment ID
I20161004000389
Address ID
KY409627012MA21XXXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience80
Completeness75
Years active:19State licenses:3Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO)

  • 204 TOWN BRANCH RD

    MANCHESTER, KY 409621322

    Phone: (606) 598-8766

    Fax: (606) 598-1903

    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)

CMS reports 168 Open Payments records for all available years, with a total value of $5,434.

Total Amount is formed as General ($5,434) + Research ($0) + Ownership ($0) = $5,434.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($3,492).

Total Amount

$5,434

General + Research + Ownership

Payments

168

Total payment records

General Amount

$5,434

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2016-10-04

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
I20161004000389INurse 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.

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

Insurance plans in this area (ZIP 40962)

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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: 2961790167View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How is MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) identified in CMS data?
CMS-hosted NPPES data lists MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) with NPI 1396964102.
Can I rely on MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) being an active provider?
As of the registry snapshot, MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) is marked active.
What taxonomy line describes MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO)?
For research purposes, treat MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO) serve?
MRS. EVA ANGEL EDWARDS (APRN,FNP-BC,RFNA,CNO)'s listing highlights Manchester, Kentucky; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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