DR. NINA K. EDWARDS (MD.) – Surgery Physician, NPI 1619961067

DR. NINA K. EDWARDS (MD.) is a healthcare provider. based in Lewiston, Maine. specializing in GENERAL SURGERY. They hold the professional credentials MD.. They hold a License No. 017148 (ME). The NPI Number for DR. NINA K. EDWARDS (MD.) is 1619961067

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. NINA K. EDWARDS (MD.)
NPI
1619961067
Phone
(207) 795-5767
Address
12 HIGH ST
Enumeration Date
31 August 2005
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF OHIO
Secondary Phone
7407794888
Graduation Year
1998 (28 years ago)
PAC ID
7517868276
Group Practice PAC ID
1153456579
Professional Enrollment ID
I20200409002947
Address ID
OH456019031CH455XXLANE400

Contacts

Secure Messaging
adena.surgical@adena.medicity.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

218 GENERAL SURGERY in ME

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Provider Addresses for DR. NINA K. EDWARDS (MD.)

  • 12, High Street, Lewiston, Androscoggin County, Maine, 04240, United States

    STE. 401

    LEWISTON, ME 042407676

    Phone: (207) 795-5767

    Fax: (207) 795-2732

    Type: Mailing

  • 4439 State Route 159 Ste 270

    Chillicothe, OH 456017502

    Phone: (740) 779-4550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-04-09

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
I20200409002947IGeneral SurgeryOHTBD

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
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 04240)

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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: 1153456579View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
Physician AssistantOH
O T O L A R Y N G O L O G YOH
Certified Nurse Midwife (Cnm)OH
Family PracticeOH
Thoracic SurgeryOH
Gastroenterology, Internal MedicineOH
Physician AssistantOH
Certified Registered Nurse Anesthetist (Crna)OH

Reviews

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Frequently asked questions

Where can patients find DR. NINA K. EDWARDS (MD.)'s NPI?
You can confirm DR. NINA K. EDWARDS (MD.) with NPI 1619961067; it appears in the national provider directory.
Is DR. NINA K. EDWARDS (MD.) currently active in the NPI registry?
CMS-published data lists DR. NINA K. EDWARDS (MD.) as an active registrant.
Can you summarize DR. NINA K. EDWARDS (MD.)'s specialty in plain language?
Clinically, the directory lists DR. NINA K. EDWARDS (MD.) with Surgery Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. NINA K. EDWARDS (MD.)?
We surface Lewiston, Maine for DR. NINA K. EDWARDS (MD.) based on available NPPES addresses.
What if Lewiston, Maine seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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