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: August 09, 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
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

Accepted 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

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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Counselor (Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Social Worker (Clinical)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Psychiatric/Mental Health)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Nurse Practitioner (Gerontology)
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403
Psychologist
3205 RANDALL PKWY STE 105
WILMINGTON, NC 28403

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.

What insurance does Jared Edmonds accept?

Health plans from Oscar Health Plan of North Carolina, Inc and UnitedHealthcare 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 18 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.