LINDSEY NICOLE EDWARDS (FNP-C) – Nurse Practitioner, NPI 1790176287

LINDSEY NICOLE EDWARDS (FNP-C) is a healthcare provider. based in Tyler, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 741143 (TX). The NPI Number for LINDSEY NICOLE EDWARDS (FNP-C) is 1790176287

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
LINDSEY NICOLE EDWARDS (FNP-C)
NPI
1790176287
Phone
(903) 907-7002
Address
2115 S BROADWAY AVE
Enumeration Date
5 February 2015
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9035674692
Graduation Year
2014 (12 years ago)
PAC ID
2567789662
Group Practice PAC ID
7517385388
Professional Enrollment ID
I20150331000420
Address ID
TX751032418CA301XX243X501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LINDSEY NICOLE EDWARDS (FNP-C)

  • 2115 S BROADWAY AVE

    TYLER, TX 757014214

    Phone: (903) 907-7002

    Type: Location

  • PO BOX 846098

    DALLAS, TX 752846098

    Phone: (903) 324-6450

    Type: Mailing

  • 1505 S PALESTINE ST

    ATHENS, TX 757518950

    Phone: (903) 675-1725

    Type: Location

  • 1505 S Palestine St

    Athens, TX 757518950

    Phone: (903) 675-1725

    Type: Location

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: 2015-03-31

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
I20150331000420INurse 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
99212Established patient office or other outpatient visit, 10-19 minutes4030$0
99202New patient office or other outpatient visit, 15-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 75701)

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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: 7517385388View full group profile
NameSpecialtyState
Emergency Medicine, Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeUT
Nurse PractitionerTX
Physician AssistantNM
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is LINDSEY NICOLE EDWARDS (FNP-C)'s NPI number?
LINDSEY NICOLE EDWARDS (FNP-C)'s NPI is 1790176287 — the number used across U.S. healthcare to identify this provider.
Is there an active status for LINDSEY NICOLE EDWARDS (FNP-C)?
For scheduling context, LINDSEY NICOLE EDWARDS (FNP-C) is shown as active in the registry.
How would a patient describe LINDSEY NICOLE EDWARDS (FNP-C)'s focus?
For LINDSEY NICOLE EDWARDS (FNP-C), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is LINDSEY NICOLE EDWARDS (FNP-C) registered?
Use Tyler, Texas as the headline location for LINDSEY NICOLE EDWARDS (FNP-C) here.
Can I trust this NPI listing for LINDSEY NICOLE EDWARDS (FNP-C)?
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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