Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. EBONY ANNA EDOUARD FNP
NPI 1114482452
Nurse Practitioner - Family in Bronx, NY

Active since January 31, 2019PECOS EnrolledAccepts Medicare Assignment
529 COURTLANDT AVE, BRONX, NY 10451(718) 542-0255 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 29, 2026, Dec 22, 2022, Jan 31, 2019 (3 updates tracked since 2019).

About Mrs. Ebony Anna Edouard Fnp NPPES

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

MRS. EBONY ANNA EDOUARD FNP (NPI 1114482452) is an individual family provider in Bronx, New York, licensed in New York (349869) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1114482452
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. EBONY ANNA EDOUARDCredential: FNP
Location Address529 COURTLANDT AVEBronx, NY 10451-5007
Mailing Address51 Herrick AveTeaneck, NJ 07666-4155 · (646) 732-9064
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 31, 2019
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedJuly 29, 2022
✔ NPI 1114482452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 349869
Also ListedRegistered Nurse · Community HealthTaxonomy 163WC1500X · License 629854 (NY)
529 COURTLANDT AVE, Bronx, NY 10451

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Ebony Anna Edouard 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 ID8729452081
PECOS Enrollment IDI20230328001751
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 Reassignments

8

Medicare enrollment records show Ebony Edouard reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2336 GRAND CONCOURSE
Bronx, NY 10458
  • Reassigned Medicare billing, New York enrollment
  • 17 clinicians in this Medicare group
Internal Medicine
220 E 42ND STREET, 6TH FLOOR
New York, NY 10017
  • Reassigned Medicare billing, New York enrollment
  • 78 clinicians in this Medicare group
Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
General Practice
80 ORVILLE DR STE 100
Bohemia, NY 11716
  • Reassigned Medicare billing, New York enrollment
  • 754 clinicians in this Medicare group
Nurse Practitioner
5232 WITZ DR
North Syracuse, NY 13212
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group
Nurse Practitioner
15 FISHERS RD STE 114
Pittsford, NY 14534
  • Reassigned Medicare billing, New York enrollment
  • 108 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 10451 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

Community Health Worker
529 COURTLANDT AVE
BRONX, NY 10451
Community Health Worker
529 COURTLANDT AVE
BRONX, NY 10451
Community Health Worker
529 COURTLANDT AVE
BRONX, NY 10451
Community Health Worker
529 COURTLANDT AVE
BRONX, NY 10451
Community Health Worker
529 COURTLANDT AVE
BRONX, NY 10451
Community Health Worker
529 COURTLANDT AVE
BRONX, NY 10451
Case Manager/Care Coordinator
529 COURTLANDT AVE
BRONX, NY 10451
Community Health Worker
529 COURTLANDT AVE
BRONX, NY 10451

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 Ebony Edouard's NPI number?

The NPI number for Ebony Edouard is 1114482452. It was assigned to this individual provider in the NPPES registry on January 31, 2019.

Where is Ebony Edouard located?

Ebony Edouard practices at 529 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (718) 542-0255.

What is Ebony Edouard's specialty?

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

Is Ebony Edouard enrolled in Medicare?

Yes. Ebony Edouard is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ebony Edouard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ebony Edouard reassigns Medicare benefits to 8 organizations: Wellcare Of Bx Medical PC (Bronx, NY), Medical Care At Home PC (New York, NY), Che Senior Psychological Services, PC (Brooklyn, NY), Knapp Street Psychiatry, PC (Brooklyn, NY), Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ) and 3 more organizations, listed in the Medicare section above. 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 Ebony Edouard'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 Ebony Edouard was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.