DR. JESSICA LAUREN EDE (M.D.) – Emergency Medicine Physician, NPI 1619382744

DR. JESSICA LAUREN EDE (M.D.) is a healthcare provider. based in Washington, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 289530 (NY). The NPI Number for DR. JESSICA LAUREN EDE (M.D.) is 1619382744

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JESSICA LAUREN EDE (M.D.)
NPI
1619382744
Phone
(248) 225-1556
Address
62043 COLLEEN CT
Enumeration Date
26 June 2014
Last Update Date
2 February 2021

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6077985111
Graduation Year
2014 (12 years ago)
PAC ID
5092010777
Group Practice PAC ID
7012913916
Professional Enrollment ID
I20170710002664
Address ID
NY139054246BI169XXDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:11State licenses:3Digital endpointsOther names

4,915 EMERGENCY MEDICINE in NY

Provider Addresses for DR. JESSICA LAUREN EDE (M.D.)

  • 62043 COLLEEN CT

    WASHINGTON, MI 480941000

    Phone: (248) 225-1556

    Type: Mailing

  • 2605 HARLEM RD

    CHEEKTOWAGA, NY 142254018

    Phone: (716) 891-2400

    Type: Location

  • 4440 W 95th St

    Oak Lawn, IL 604532600

    Phone: (708) 684-5375

    Fax: (708) 684-1028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2018-06-07

PECOS data refreshed: 2026-05-27

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
I20170710002664IEmergency MedicineNYTBD
I20180607000390IEmergency MedicineMITBD

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
99285Emergency department visit with high level of medical decision making5757$0
99284Emergency department visit with moderate level of medical decision making4740$0
99283Emergency department visit with low level of medical decision making2320$0
View full utilization report →

Insurance plans in this area (ZIP 48094)

Loading plans...

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: 7012913916View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineNJ
Emergency MedicineNY
Emergency MedicineNY
Emergency MedicineCT
Emergency MedicineNY
Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineMI
-NJ

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference DR. JESSICA LAUREN EDE (M.D.)?
For DR. JESSICA LAUREN EDE (M.D.), use NPI 1619382744 as the unique 10-digit identifier.
Is DR. JESSICA LAUREN EDE (M.D.) shown as active in public data?
Registry records indicate DR. JESSICA LAUREN EDE (M.D.) maintains an active NPI.
What clinical focus is listed for DR. JESSICA LAUREN EDE (M.D.)?
At a glance, DR. JESSICA LAUREN EDE (M.D.) is tied to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. JESSICA LAUREN EDE (M.D.) located near Washington?
DR. JESSICA LAUREN EDE (M.D.) currently maps to Washington, Michigan in this extract.
Does DR. JESSICA LAUREN EDE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

DR. JOHN BUTLER DITCHMAN (D.O.)

Emergency Medicine Physician
Grey Fox Glen, West Ridge, Washington Charter Township, Macomb County, Michigan, 48094, United States
NPI: 1154410165

CHARLES MOK D.O., P.C.

Emergency Medicine Physician
4773, Lockwood Drive, Lockwood Hills, Washington Charter Township, Macomb County, Michigan, 48094, United States
NPI: 1740402031

NICHOLAS ANTONIO BURKE

Emergency Medicine Physician
1 GOOD SAMARITAN WAY
NPI: 1174144364

KARISSA HALEY KONWERSKI (MD)

Emergency Medicine Physician
1632 Stone St
NPI: 1922783992