ELIZABETH ANN EDWARDS (FNP-BC) – Family Medicine Physician, NPI 1174292429

ELIZABETH ANN EDWARDS (FNP-BC) is a healthcare provider. based in Colonial heights, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 0024182391 (VA). The NPI Number for ELIZABETH ANN EDWARDS (FNP-BC) is 1174292429

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH ANN EDWARDS (FNP-BC)
NPI
1174292429
Phone
(804) 504-7980
Address
524 SOUTHPARK BLVD
Enumeration Date
9 September 2021
Last Update Date
11 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8045232533
Graduation Year
2022 (4 years ago)
PAC ID
9436537925
Group Practice PAC ID
6709927957
Professional Enrollment ID
I20220613001776
Address ID
VA231131453MI2931XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for ELIZABETH ANN EDWARDS (FNP-BC)

  • 524 SOUTHPARK BLVD

    COLONIAL HEIGHTS, VA 238343609

    Phone: (804) 504-7980

    Fax: (804) 554-5387

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $493.

Total Amount is formed as General ($493) + Research ($0) + Ownership ($0) = $493.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Medtronic, Inc. ($282).

Total Amount

$493

General + Research + Ownership

Payments

11

Total payment records

General Amount

$493

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2022-06-13

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
I20220613001776INurse PractitionerVATBD

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 23834)

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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: 6709927957View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YVA

Reviews

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Frequently asked questions

Can I use this page to confirm ELIZABETH ANN EDWARDS (FNP-BC)'s NPI?
Yes. ELIZABETH ANN EDWARDS (FNP-BC) is listed with NPI 1174292429 in the public NPI dataset.
Can I rely on ELIZABETH ANN EDWARDS (FNP-BC) being an active provider?
As of the registry snapshot, ELIZABETH ANN EDWARDS (FNP-BC) is marked active.
What healthcare role does ELIZABETH ANN EDWARDS (FNP-BC) hold?
Scheduling teams often label ELIZABETH ANN EDWARDS (FNP-BC) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is ELIZABETH ANN EDWARDS (FNP-BC) based?
ELIZABETH ANN EDWARDS (FNP-BC) is tied to Colonial Heights, Virginia in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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