EDGARDO JOSE
NPI 1083075071
Nurse Practitioner - Family in Greenville, NC

Active since March 17, 2016PECOS Enrolled
302 MARY BETH DR, GREENVILLE, NC 27858(910) 322-4032 Get Directions Write a Review

NPPES record last updated: March 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edgardo Jose NPPES

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

EDGARDO JOSE (NPI 1083075071) is an individual family provider in Greenville, North Carolina, licensed in North Carolina (5008452) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083075071
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDGARDO JOSE
Location Address302 MARY BETH DRGreenville, NC 27858-8118
Mailing Address302 Mary Beth DrGreenville, NC 27858-8118 · (910) 322-4032
Sole ProprietorYes
Enumeration DateMarch 17, 2016
NPI 1083075071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5008452
302 MARY BETH DR, Greenville, NC 27858

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Edgardo Jose 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27858 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.

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 Edgardo Jose's NPI number?

The NPI number for Edgardo Jose is 1083075071. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Where is Edgardo Jose located?

Edgardo Jose practices at 302 Mary Beth Dr, Greenville, NC 27858. The listed phone number is (910) 322-4032.

What is Edgardo Jose's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edgardo Jose enrolled in Medicare?

Yes. Edgardo Jose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edgardo Jose was last updated on March 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.