TAJUANA CHANTELL EDWARDS – Psychiatric/Mental Health Nurse Practitioner, NPI 1285398156

TAJUANA CHANTELL EDWARDS is a healthcare provider. based in Crowley, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 72615 (NM). The NPI Number for TAJUANA CHANTELL EDWARDS is 1285398156

Main info

Female
6 Years Of Experience
Name
TAJUANA CHANTELL EDWARDS
NPI
1285398156
Phone
(870) 514-4846
Address
4620 BARBERRY TREE CV
Enumeration Date
27 October 2021
Last Update Date
9 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9567943000
Graduation Year
2020 (6 years ago)
PAC ID
5799175162
Group Practice PAC ID
0648207381
Professional Enrollment ID
I20250730001434
Address ID
TX780411701LA1500XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:4State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TAJUANA CHANTELL EDWARDS

  • 4620 BARBERRY TREE CV

    CROWLEY, TX 760369582

    Phone: (870) 514-4846

    Type: Location

  • 700 8TH AVE W

    STE 101

    PALMETTO, FL 342214737

    Phone: (941) 776-4000

    Fax: (941) 845-4963

    Type: Mailing

  • 100 JOHN DANTIS RD SW

    ALBUQUERQUE, NM 871510100

    Phone: (505) 417-1416

    Type: Location

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 $112.

Total Amount is formed as General ($112) + Research ($0) + Ownership ($0) = $112.

Last reported payment date: 2023-02-15 • Largest payer in this snapshot: ABBVIE INC. ($112).

Total Amount

$112

General + Research + Ownership

Payments

1

Total payment records

General Amount

$112

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$112
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: 2025-07-30

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
I20250730001434INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes8517$0
View full utilization report →

Insurance plans in this area (ZIP 76036)

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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: 0648207381View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Mental Health CounselorTX
Nurse PractitionerTX
-TX
-TX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up TAJUANA CHANTELL EDWARDS by NPI?
Use NPI 1285398156 when you need to reference TAJUANA CHANTELL EDWARDS in forms, claims, or directories.
Is TAJUANA CHANTELL EDWARDS's NPI currently valid?
The extract we use shows TAJUANA CHANTELL EDWARDS as active.
Can you summarize TAJUANA CHANTELL EDWARDS's specialty in plain language?
Clinically, the directory lists TAJUANA CHANTELL EDWARDS with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for TAJUANA CHANTELL EDWARDS?
We surface Crowley, Texas for TAJUANA CHANTELL EDWARDS based on available NPPES addresses.
What if Crowley, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.