JESSICA EDWARDS – Family Nurse Practitioner, NPI 1174939086

JESSICA EDWARDS is a healthcare provider. based in Columbus, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.16109 (OH). The NPI Number for JESSICA EDWARDS is 1174939086

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA EDWARDS
NPI
1174939086
Phone
(614) 293-8305
Address
410 W 10TH AVE
Enumeration Date
11 July 2014
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6142938305
Graduation Year
2014 (12 years ago)
PAC ID
7810211802
Group Practice PAC ID
2668386673
Professional Enrollment ID
I20150122001057
Address ID
OH432101240CO410XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JESSICA EDWARDS

  • 410 W 10TH AVE

    COLUMBUS, OH 432101240

    Phone: (614) 293-8305

    Fax: (614) 293-3124

    Type: Location

  • 300 W 10TH AVE

    COLUMBUS, OH 432101280

    Phone:

    Type: Mailing

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-8305

    Type: Mailing

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: 2015-01-22

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
I20150122001057INurse PractitionerOHTBD

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 43210)

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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: 2668386673View full group profile
NameSpecialtyState
Emergency MedicineOH
Internal Medicine, Emergency Medicine, Addiction Medicine, Internal Medicine, HospitalistOH
Sports Medicine, Internal MedicineOH
Emergency MedicineOH
Emergency MedicineOH
Emergency MedicineOH
-OH
Emergency MedicineOH
Nurse PractitionerOH
-OH

Reviews

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Frequently asked questions

Is JESSICA EDWARDS listed with a National Provider Identifier?
Yes — JESSICA EDWARDS has NPI 1174939086 on file in the registry.
Is JESSICA EDWARDS still an active registrant?
JESSICA EDWARDS carries an active NPI according to the public dataset.
What expertise is attributed to JESSICA EDWARDS?
JESSICA EDWARDS's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is JESSICA EDWARDS located near Columbus?
JESSICA EDWARDS currently maps to Columbus, Ohio in this extract.
Can I trust this NPI listing for JESSICA EDWARDS?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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