PHYLLIS ANN EDWARDS MD
NPI 1164497954
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Visalia, CA
About Phyllis Ann Edwards Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYLLIS ANN EDWARDS MD (NPI 1164497954) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Visalia, California, licensed in California (G62111) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of Stanford University School Of Medicine (1975).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Phyllis Ann Edwards Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Phyllis Edwards reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Massena, NY 13662
- Reassigned Medicare billing, New York enrollment
- 176 clinicians in this Medicare group
Saranac Lake, NY 12983
- Reassigned Medicare billing, New York enrollment
- 76 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adirondack Medical Center - Saranac Lake
Acute Care Hospitals · Saranac Lake, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 93291 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Phyllis Edwards's NPI number?
The NPI number for Phyllis Edwards is 1164497954. It was assigned to this individual provider in the NPPES registry on February 23, 2006.
Where is Phyllis Edwards located?
Phyllis Edwards practices at 100 Willow Plaza Ste 301, Visalia, CA 93291. The listed phone number is (559) 734-3278.
What is Phyllis Edwards's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Phyllis Edwards enrolled in Medicare?
Yes. Phyllis Edwards 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 Phyllis Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phyllis Edwards reassigns Medicare benefits to 2 organizations: Massena Hospital Inc (Massena, NY) and Adirondack Medical Center (Saranac Lake, NY). 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 Phyllis Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Phyllis Edwards affiliated with any hospitals?
According to CMS data, Phyllis Edwards is affiliated with Adirondack Medical Center - Saranac Lake.
When was this NPI record last updated?
The NPPES record for Phyllis Edwards was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.
# Phyllis Ann Edwards, MD · NPI 1164497954
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Visalia, California. Individual provider, active in the CMS NPPES registry since February 23, 2006.
## Identity
- **NPI:** 1164497954 (Entity type: Individual)
- **Enumerated:** February 23, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** G62111 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 WILLOW PLAZA, STE 301, Visalia, CA 93291-6215
- **Phone:** (559) 734-3278 · **Fax:** (559) 627-5723
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Massena Hospital Inc (NPI 1972604460, Massena, NY); Adirondack Medical Center (NPI 1245446533, Saranac Lake, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Stanford University School Of Medicine, class of 1975
## Record status
- **NPPES last updated:** June 2, 2008
- **Other identifiers:** Medicare UPIN C46722; Medicare PIN 00G621111 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1164497954) · Data from the CMS NPPES public registry.