VERNON J EDMONDSON (APRN-CNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1174388409

VERNON J EDMONDSON (APRN-CNP) is a healthcare provider. based in Austin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN-CNP. They hold a License No. 1044681 (TX). The NPI Number for VERNON J EDMONDSON (APRN-CNP) is 1174388409

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
VERNON J EDMONDSON (APRN-CNP)
NPI
1174388409
Phone
(617) 935-4004
Address
501 E OLTORF ST APT 218
Enumeration Date
15 February 2024
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5128199400
Graduation Year
2023 (3 years ago)
PAC ID
6608313945
Group Practice PAC ID
2365751468
Professional Enrollment ID
I20240803000433
Address ID
TX786267700GE700XXLOOP400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for VERNON J EDMONDSON (APRN-CNP)

  • 501 E OLTORF ST APT 218

    AUSTIN, TX 787045625

    Phone: (617) 935-4004

    Type: Mailing

  • 2501 W WILLIAM CANNON DR BLDG 4

    AUSTIN, TX 787455281

    Phone: (512) 472-4357

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $122.

Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Neurocrine BioSciences Inc. ($122).

Total Amount

$122

General + Research + Ownership

Payments

1

Total payment records

General Amount

$122

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-08-03

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
I20240803000433INurse PractitionerTXTBD

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 78704)

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: 2365751468View full group profile

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

What NPI should I save for VERNON J EDMONDSON (APRN-CNP)?
Save NPI 1174388409 if you need a stable reference for VERNON J EDMONDSON (APRN-CNP).
Is VERNON J EDMONDSON (APRN-CNP)'s NPI currently valid?
The extract we use shows VERNON J EDMONDSON (APRN-CNP) as active.
Can you summarize VERNON J EDMONDSON (APRN-CNP)'s specialty in plain language?
Clinically, the directory lists VERNON J EDMONDSON (APRN-CNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place VERNON J EDMONDSON (APRN-CNP)?
The snapshot lists Austin, Texas for VERNON J EDMONDSON (APRN-CNP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

The Oaks Treatment Center

Psychiatric Hospital
Austin Oaks Hospital, 1407, West Stassney Lane, Sunset Valley, Austin, Travis County, Texas, 78745, United States
NPI: 1366442550

CHRISTI A CAMPBELL (FNP,PHD)

Family Nurse Practitioner
Stephen F Austin Avenue, Dime Box, Lee County, Texas, 77853, United States
NPI: 1073514667

MRS. SUZANNE HICKS GRANTHAM (PMHNP APRN BC)

Psychiatric/Mental Health Nurse Practitioner
Austin Foot and Ankle Specialists, 1600, West 38th Street, Oakmont Heights, Austin, Travis County, Texas, 78731, United States
NPI: 1427039098

MR. FRED POWELL JR. BAKER (RN-PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
VA Austin Outpatient Clinic, 7901, Metropolis Drive, MetCenter, Austin, Travis County, Texas, 78744, United States
NPI: 1720040157

KELLIE L SHUCK (PMHNP-CNS, BC)

Psychiatric/Mental Health Nurse Practitioner
1001 W Worley St
NPI: 1598720534

Integral Care

Psychiatry Physician
1430, Collier Street, Zilker, Austin, Travis County, Texas, 78704, United States
NPI: 1750337259

MS. MARY JAMES GLENNEY (PMHNP-BC)

Psychiatric/Mental Health Nurse Practitioner
Innovation Drive, Fort Collins, Larimer County, Colorado, 80525-3407, United States
NPI: 1316980832

JANICE MOORE (GNP)

Psychiatric/Mental Health Nurse Practitioner
1009, North Georgetown Street, Round Rock, Williamson County, Texas, 78664, United States
NPI: 1447287925