NICOLE L EDWARDS (FNP) – Family Nurse Practitioner, NPI 1942687355

NICOLE L EDWARDS (FNP) is a healthcare provider. based in Memphis, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 19852 (TN). The NPI Number for NICOLE L EDWARDS (FNP) is 1942687355

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE L EDWARDS (FNP)
NPI
1942687355
Phone
(901) 683-0055
Address
100 N Humphreys Blvd
Enumeration Date
5 May 2015
Last Update Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9014102677
Graduation Year
2014 (12 years ago)
PAC ID
2567772502
Group Practice PAC ID
5597187088
Professional Enrollment ID
I20151104000372
Address ID
TN381166337ME1056XRDXX400
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

10,664 NURSE PRACTITIONER in TN

Provider Addresses for NICOLE L EDWARDS (FNP)

  • 100 N Humphreys Blvd

    Memphis, TN 381202146

    Phone: (901) 683-0055

    Type: Location

  • 7714 POPLAR AVE STE 200

    GERMANTOWN, TN 381383941

    Phone: (901) 683-0055

    Fax: (901) 922-6722

    Type: Mailing

  • 7945 WOLF RIVER BLVD

    GERMANTOWN, TN 381381762

    Phone: (901) 683-0055

    Fax: (901) 685-2969

    Type: Location

  • 1056 E RAINES RD

    MEMPHIS, TN 381166337

    Phone: (901) 300-5777

    Fax: (901) 422-6092

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2024-02-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$25
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: 2015-11-04

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
I20151104000372INurse PractitionerTNTBD

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
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month272113$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes261108$0
99437Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month10979$0
99496Transitional care management services for problem of high complexity102101$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes6451$0
View full utilization report →

Insurance plans in this area (ZIP 38120)

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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: 5597187088View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Family PracticeNY

Reviews

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Frequently asked questions

Does NICOLE L EDWARDS (FNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — NICOLE L EDWARDS (FNP) uses 1942687355.
Can I rely on NICOLE L EDWARDS (FNP) being an active provider?
As of the registry snapshot, NICOLE L EDWARDS (FNP) is marked active.
What is NICOLE L EDWARDS (FNP) best known for clinically?
Directory data describes NICOLE L EDWARDS (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does NICOLE L EDWARDS (FNP) serve?
NICOLE L EDWARDS (FNP)'s listing highlights Memphis, Tennessee; more addresses can appear in NPPES.
Why does NICOLE L EDWARDS (FNP) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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