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MR. JARED DANIEL EDMONDS PMHNP
NPI 1245040567
Nurse Practitioner - Psychiatric/Mental Health in Wilmington, NC

Active since January 09, 2025PECOS EnrolledAccepts Medicare Assignment
3205 RANDALL PKWY STE 105, WILMINGTON, NC 28403(910) 742-9243 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 6, 2025, Jan 9, 2025 (2 updates tracked since 2025).

About Mr. Jared Daniel Edmonds Pmhnp NPPES

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

MR. JARED DANIEL EDMONDS PMHNP (NPI 1245040567) is an individual psychiatric/mental health provider in Wilmington, North Carolina, licensed in North Carolina (5021554) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245040567
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. JARED DANIEL EDMONDSCredential: PMHNP
Location Address3205 RANDALL PKWY STE 105Wilmington, NC 28403-2565
Mailing Address1012 Justus DrJohnson City, TN 37604-6300
Phone(910) 742-9243
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 9, 2025
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1245040567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NC · 5021554✔ Licensed in NC · 245445
3205 RANDALL PKWY STE 105, Wilmington, NC 28403
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

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

Mr. Jared Daniel Edmonds Pmhnp 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 ID3375064835
PECOS Enrollment IDI20250313000151
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

2

Medicare enrollment records show Jared Edmonds reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lifesource Of North Carolina
Same address
Internal Medicine
3205 RANDALL PKWY, SUITE 105
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 92 clinicians in this Medicare group
NPI 1811286156 (910) 742-9243
Lifesource Prime Inc
Same address
Family Medicine
3205 RANDALL PKWY STE 105
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 46 clinicians in this Medicare group
NPI 1598533275 (910) 742-9243

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 28403 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

FELIX MANUEL CONTRERAS RN
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
ERICA ROCHELLE ALFORD-GADDY LCSW
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
KIMBERLY LEE WHITFIELD LCMHC
Counselor (Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
WHITNEY NICOLE GREGG
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
MARIANNE YARNALL
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
JASON DARDEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
DEBRA DENISE ARTHUR TURNER AGNP-C
Nurse Practitioner (Gerontology)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243
DR. STEPHEN SEALS ELLIOTT PHD
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
New Hanover County (910) 742-9243

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 Jared Edmonds's NPI number?

The NPI number for Jared Edmonds is 1245040567. It was assigned to this individual provider in the NPPES registry on January 9, 2025.

Where is Jared Edmonds located?

Jared Edmonds practices at 3205 Randall Pkwy Ste 105, Wilmington, NC 28403. The listed phone number is (910) 742-9243.

What is Jared Edmonds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jared Edmonds enrolled in Medicare?

Yes. Jared Edmonds 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 Jared Edmonds's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jared Edmonds reassigns Medicare benefits to 2 organizations: Lifesource Of North Carolina (Wilmington, NC) and Lifesource Prime Inc (Wilmington, NC). 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 Jared Edmonds's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jared Edmonds accept?

Health plans from Cigna Healthcare list Jared Edmonds 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 Jared Edmonds was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.