JORDAN LEE EDWARDS NP-C
NPI 1043852775
Nurse Practitioner - Adult Health in Wentzville, MO

Q: What is Jordan Edwards's NPI number?

The NPI number for Jordan Edwards is 1043852775. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Q: What is Jordan Edwards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Edwards was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 15, 2019PECOS EnrolledAccepts Medicare Assignment

105 CREEKSIDE OFFICE DR, WENTZVILLE, MO 63385(636) 625-5200 Get Directions Write a Review

NPPES record last updated: October 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 22, 2019, Oct 15, 2019 (2 updates tracked since 2019).

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About Jordan Lee Edwards Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN LEE EDWARDS NP-C (NPI 1043852775) is an individual adult health provider in Wentzville, Missouri, licensed in Missouri (2019026971) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043852775

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameJORDAN LEE EDWARDSCredential: NP-C

Location Address105 CREEKSIDE OFFICE DRWentzville, MO 63385-3289

Mailing Address315 Vinings BlvdO Fallon, MO 63366-7582 · (870) 634-6883

Phone(636) 625-5200

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 15, 2019

Last NPPES UpdateOctober 22, 20192 updates tracked since enumeration

✔ NPI 1043852775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · 2019026971

105 CREEKSIDE OFFICE DR, Wentzville, MO 63385

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jordan Lee Edwards Np-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315370772

PECOS Enrollment IDI20191126000976

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Ssm St Joseph Hospital West

Acute Care Hospitals · Lake Saint Louis, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number260200

Location100 Medical PlazaLake Saint Louis, MO 63367 · St. Charles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63385 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers25 claims25 services$64.27 avg. paid by Medicare

Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738

DME-Oxygen and Supplies · category DC000N

1 supplier11 claims11 services$31.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DEBORAH ANN HARRELL MSN,APRN FNP-C

Nurse Practitioner

105 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385

St. Charles County (636) 639-6262

HARMINDER GREWAL ARNP

Nurse Practitioner

105 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385

St. Charles County (866) 825-3227

HEATHER MARIE SCHOTT AGPCNP

Nurse Practitioner

105 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385

St. Charles County (636) 639-6262

KATHERINE ELLEN VENEGONI NP-C

Nurse Practitioner

105 CREEKSIDE OFFICE DR
WENTZVILLE, MO 63385

St. Charles County (636) 639-6262

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Edwards's NPI number?

The NPI number for Jordan Edwards is 1043852775. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Jordan Edwards located?

Jordan Edwards practices at 105 Creekside Office Dr, Wentzville, MO 63385. The listed phone number is (636) 625-5200.

What is Jordan Edwards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jordan Edwards enrolled in Medicare?

Yes. Jordan Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jordan Edwards affiliated with any hospitals?

According to CMS data, Jordan Edwards is affiliated with Northwestern Medicine Central Dupage Hospital and Ssm St Joseph Hospital West.

When was this NPI record last updated?

The NPPES record for Jordan Edwards was last updated on October 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.