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MRS. LORI ANN EDGAR MSN FNP-BC
NPI 1154307189
Nurse Practitioner - Family in Charleston, SC

Active since December 21, 2005PECOS EnrolledAccepts Medicare Assignment
1938 CHARLIE HALL BLVD, UNIT B, CHARLESTON, SC 29414(843) 402-0227(843) 402-0232 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 5, 2024, Mar 10, 2021, Jan 27, 2017 (3 updates tracked since 2017).

About Mrs. Lori Ann Edgar Msn Fnp-bc NPPES

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

MRS. LORI ANN EDGAR MSN FNP-BC (NPI 1154307189) is an individual family provider in Charleston, South Carolina, licensed in South Carolina (APN 2541) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Trident Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1154307189
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LORI ANN EDGARCredential: MSN FNP-BC
Location Address1938 CHARLIE HALL BLVD, UNIT BCharleston, SC 29414-6099
Mailing Address1938 Charlie Hall Blvd, Unit BCharleston, SC 29414-6099 · (843) 402-0227 · Fax (842) 402-0232
Phone(843) 402-0227
Fax(843) 402-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateDecember 21, 2005
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1154307189 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 SC · APN 2541
1938 CHARLIE HALL BLVD, Charleston, SC 29414
Open in Google Maps ↗

Other Identifiers 3

OtherP00638337SC · Railroad Medicare Id-prior To 5/1/09
MedicaidNP0875SC
OtherP00820369SC · Railroad Medicare Id-rsfpn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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. Lori Ann Edgar Msn Fnp-bc 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 ID9335195858
PECOS Enrollment IDI20050329000113
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
95 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
34 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Roper Hospital

Acute Care Hospitals · Charleston, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420087
Location316 Calhoun StCharleston, SC 29401 · Charleston County
Emergency services

Roper St Francis Hospital-Berkeley Inc

Acute Care Hospitals · Summerville, SC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420110
Location300 Callen BlvdSummerville, SC 29486 · Dorchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29414 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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 2

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

DANNAH W WRAY MD
Internal Medicine (Infectious Disease)
1938 CHARLIE HALL BLVD, UNIT B
CHARLESTON, SC 29414
Charleston County (843) 402-0227
DR. LUDWIG A LETTAU M.D.
Internal Medicine (Infectious Disease)
1938 CHARLIE HALL BLVD
CHARLESTON, SC 29414
Charleston County (843) 402-0227

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 Lori Edgar's NPI number?

The NPI number for Lori Edgar is 1154307189. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Where is Lori Edgar located?

Lori Edgar practices at 1938 Charlie Hall Blvd Unit B, Charleston, SC 29414. The listed phone number is (843) 402-0227.

What is Lori Edgar's specialty?

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

Is Lori Edgar enrolled in Medicare?

Yes. Lori Edgar 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.

What insurance does Lori Edgar accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next list Lori Edgar 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.

Is Lori Edgar affiliated with any hospitals?

According to CMS data, Lori Edgar is affiliated with Trident Medical Center, Roper Hospital and Roper St Francis Hospital-Berkeley Inc.

When was this NPI record last updated?

The NPPES record for Lori Edgar was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.