EDWIN O AWINDA (APRN) – Gerontology Nurse Practitioner, NPI 1194216895

EDWIN O AWINDA (APRN) is a healthcare provider. based in Salt lake city, Utah. specializing in Gerontology Nurse Practitioner. They hold the professional credentials APRN. They hold a License No. 7321629-4405 (UT). The NPI Number for EDWIN O AWINDA (APRN) is 1194216895

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN O AWINDA (APRN)
NPI
1194216895
Phone
(801) 486-4877
Address
120 W 1300 S
Enumeration Date
29 May 2018
Last Update Date
10 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8004050076
Graduation Year
2017 (9 years ago)
PAC ID
3375898349
Group Practice PAC ID
4789807165
Professional Enrollment ID
I20180614002020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

Provider Addresses for EDWIN O AWINDA (APRN)

  • 120 W 1300 S

    SALT LAKE CITY, UT 841155230

    Phone: (801) 486-4877

    Type: Mailing

  • 5450 S GREEN ST STE A

    MURRAY, UT 841235632

    Phone: (801) 486-4877

    Type: Location

  • 4035, 500 East, Millcreek, Salt Lake County, Utah, 84107, United States

    Salt Lake City, UT 841071866

    Phone: (801) 262-9181

    Fax: (813) 336-8463

    Type: Location

  • 1728 S WRIGHT CT

    SALT LAKE CITY, UT 841052914

    Phone: (801) 941-4034

    Fax: (813) 366-8463

    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: 2018-06-14

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
I20180614002020INurse PractitionerUTTBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes388133$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes313163$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes12675$0
View full utilization report →

Insurance plans in this area (ZIP 84115)

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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: 4789807165View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists), Pulmonary DiseaseGA
-NV
Internal MedicineUT
Nurse PractitionerUT
Nurse PractitionerNV
Internal MedicineID
Internal MedicineOR
Emergency MedicineCO
Physician AssistantND
Internal Medicine, Hospitalist, Internal MedicineNV

Reviews

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Frequently asked questions

How do payers reference EDWIN O AWINDA (APRN)?
For EDWIN O AWINDA (APRN), use NPI 1194216895 as the unique 10-digit identifier.
Active or inactive — what applies to EDWIN O AWINDA (APRN)?
You should see EDWIN O AWINDA (APRN) as active in CMS-hosted NPPES data.
What area of care is associated with EDWIN O AWINDA (APRN)?
EDWIN O AWINDA (APRN)'s record emphasizes Gerontology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with EDWIN O AWINDA (APRN)?
Directory geography for EDWIN O AWINDA (APRN) centers on Salt Lake City, Utah.
Can I trust this NPI listing for EDWIN O AWINDA (APRN)?
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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