EDWINA LYNETTE BERRY FNP
NPI 1053689505
Nurse Practitioner - Adult Health in Greensboro, NC

Active since December 12, 2011PECOS Enrolled
1309 N ELM ST, GREENSBORO, NC 27401(336) 544-5400(336) 544-5401 Get Directions Write a Review

NPPES record last updated: December 12, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edwina Lynette Berry Fnp NPPES

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

EDWINA LYNETTE BERRY FNP (NPI 1053689505) is an individual adult health provider in Greensboro, North Carolina, licensed in North Carolina (5005447) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053689505
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameEDWINA LYNETTE BERRYCredential: FNP
Location Address1309 N ELM STGreensboro, NC 27401-1005
Mailing Address1309 N Elm StGreensboro, NC 27401-1005 · (336) 544-5400 · Fax (336) 544-5401
Fax(336) 544-5401
Sole ProprietorYes
Enumeration DateDecember 12, 2011
✔ NPI 1053689505 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 NC · 5005447
1309 N ELM ST, Greensboro, NC 27401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edwina Lynette Berry Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Edwina Berry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, North Carolina enrollment
  • 728 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Family)
1309 N ELM ST
GREENSBORO, NC 27401
Internal Medicine (Geriatric Medicine)
1309 N ELM ST
GREENSBORO, NC 27401
Nurse Practitioner (Adult Health)
1309 N ELM ST
GREENSBORO, NC 27401
Internal Medicine
1309 N ELM ST
GREENSBORO, NC 27401
Nurse Practitioner (Adult Health)
1309 N ELM ST
GREENSBORO, NC 27401
Nurse Practitioner (Adult Health)
1309 N ELM ST
GREENSBORO, NC 27401
Nurse Practitioner (Adult Health)
1309 N ELM ST
GREENSBORO, NC 27401
Internal Medicine
1309 N ELM ST
GREENSBORO, NC 27401

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 Edwina Berry's NPI number?

The NPI number for Edwina Berry is 1053689505. It was assigned to this individual provider in the NPPES registry on December 12, 2011.

Where is Edwina Berry located?

Edwina Berry practices at 1309 N Elm St, Greensboro, NC 27401. The listed phone number is (336) 544-5400.

What is Edwina Berry's specialty?

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

Is Edwina Berry enrolled in Medicare?

Yes. Edwina Berry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edwina Berry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edwina Berry reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The 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 Edwina Berry'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 Edwina Berry was last updated on December 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.