EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
NPI 1093670648
Clinic/Center - Federally Qualified Health Center (FQHC) in Gary, IN
About Edgewater Systems For Balanced Living, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC (NPI 1093670648) is a healthcare organization registered as a federally qualified health center (fqhc) in Gary, Indiana and active in the NPI registry since December 2025. The organization lists Danita Johnson-woods, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edgewater Systems For Balanced Living, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
31Medicare enrollment records show 31 clinicians reassign Medicare billing to Edgewater Systems For Balanced Living, Inc, which bills Medicare for the services they deliver. Of these, 18 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 9
Nearest to this location (20)
See all 31Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Edgewater Systems For Balanced Living, Inc's NPI number?
The NPI number for Edgewater Systems For Balanced Living, Inc is 1093670648. It was assigned to this organization in the NPPES registry on December 17, 2025.
Where is Edgewater Systems For Balanced Living, Inc located?
Edgewater Systems For Balanced Living, Inc is located at 900 Gerry St,, Gary, IN 46406. The listed phone number is (844) 433-4392.
What is Edgewater Systems For Balanced Living, Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Edgewater Systems For Balanced Living, Inc enrolled in Medicare?
Yes. Edgewater Systems For Balanced Living, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edgewater Systems For Balanced Living, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 31 clinicians in 9 Medicare specialties reassign their Medicare billing to Edgewater Systems For Balanced Living, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (13), Clinical Social Worker (3) and Family Practice (3). Of these, 18 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Edgewater Systems For Balanced Living, Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Edgewater Systems For Balanced Living, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edgewater Systems For Balanced Living, Inc was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Edgewater Systems For Balanced Living, Inc · NPI 1093670648
Federally Qualified Health Center (FQHC) organization in Gary, Indiana. Organization record, active in the CMS NPPES registry since December 17, 2025.
## Identity
- **NPI:** 1093670648 (Entity type: Organization)
- **Enumerated:** December 17, 2025
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Organization subpart:** No
- **Authorized official:** Danita Johnson-Woods, CEO
## Practice location
- **Address:** 900 GERRY ST,, Gary, IN 46406
- **Phone:** (844) 433-4392 · **Fax:** (219) 888-9867
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 31 clinicians in 9 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (13), Clinical Social Worker (3), Family Practice (3); 18 practice within 10 miles; [full list](https://npiprofile.com/npi/1093670648/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093670648) · Data from the CMS NPPES public registry.