MR. CLARENCE JEP EDWARDS ARNP
NPI 1053307710
Nurse Practitioner - Family in Omak, WA
About Mr. Clarence Jep Edwards Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CLARENCE JEP EDWARDS ARNP (NPI 1053307710) is an individual family provider in Omak, Washington, licensed in Washington (AP30006781) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Clarence Jep Edwards Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Clarence Edwards reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Everett, WA 98208
- Reassigned Medicare billing, Washington enrollment
- 182 clinicians in this Medicare group
Arapahoe, WY 82510
- Reassigned Medicare billing, Texas enrollment
- 57 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98841 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Clarence Edwards's NPI number?
The NPI number for Clarence Edwards is 1053307710. It was assigned to this individual provider in the NPPES registry on September 27, 2005.
Where is Clarence Edwards located?
Clarence Edwards practices at 916 Koala Dr, Omak, WA 98841. The listed phone number is (509) 663-8711.
What is Clarence Edwards's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Clarence Edwards enrolled in Medicare?
Yes. Clarence Edwards is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Clarence Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clarence Edwards reassigns Medicare benefits to 2 organizations: Community Health Center Of Snohomish County (Everett, WA) and Wind River Family & Community Healthc Care (Arapahoe, WY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Clarence Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Clarence Edwards was last updated on July 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Clarence Jep Edwards, ARNP · NPI 1053307710
Family physician in Omak, Washington. Individual provider, active in the CMS NPPES registry since September 27, 2005.
## Identity
- **NPI:** 1053307710 (Entity type: Individual)
- **Enumerated:** September 27, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP30006781 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 916 KOALA DR, Omak, WA 98841-9759
- **Phone:** (509) 663-8711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Health Center Of Snohomish County (NPI 1730136367, Everett, WA); Wind River Family & Community Healthc Care (NPI 1285006379, Arapahoe, WY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 31, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1053307710) · Data from the CMS NPPES public registry.