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

Q: 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.

Q: What is Ebony Edouard'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 Ebony Edouard was last updated on December 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: December 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 22, 2022, Jan 31, 2019 (2 updates tracked since 2019).

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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

Phone(718) 542-0255

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 31, 2019

Last NPPES UpdateDecember 22, 20222 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

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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

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.

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.

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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.

CHRISTINA LEE SILVA

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