EDNA S BAGOYADO FNP - NPI 1083076343 - Nurse Practitioner in Memphis, TN

Q: What is Edna Bagoyado's NPI number?

The NPI number for Edna Bagoyado is 1083076343. It was assigned to this individual provider in the NPPES registry on March 25, 2016.

Q: What is Edna Bagoyado's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Edna Bagoyado was last updated on May 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Edna S Bagoyado Fnp NPPES

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

EDNA S BAGOYADO FNP (NPI 1083076343) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (APN20934) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1083076343

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameEDNA S BAGOYADOCredential: FNP

Location Address3889 PARK AVEMemphis, TN 38111-6634

Mailing AddressPo Box 746725Atlanta, GA 30374-6725 · (312) 733-9730

Phone(901) 401-7140

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 25, 2016

Last NPPES UpdateMay 13, 20255 updates tracked since enumeration

NPPES CertifiedMay 13, 2025

✔ NPI 1083076343 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 TN · APN20934

3889 PARK AVE, Memphis, TN 38111

Open in Google Maps ↗

Secondary Practice Location 1

Location 11030 Jefferson AveMemphis, TN 38104-2127 · Phone (901) 523-8990 ext. 7867

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

Edna S Bagoyado Fnp 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 ID9133630544

PECOS Enrollment IDI20250613000413

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

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

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38111 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 5

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

ADRIENNE SMITH PA

Physician Assistant (Medical)