OLUWATAYO EDWARDS
NPI 1265148753
Nurse Practitioner - Psychiatric/Mental Health in Auburn, MA
About Oluwatayo Edwards NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLUWATAYO EDWARDS (NPI 1265148753) is an individual psychiatric/mental health provider in Auburn, Massachusetts, licensed in Massachusetts (RN2359413) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Oluwatayo Edwards 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
3Medicare enrollment records show Oluwatayo Edwards reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Hartford, CT 06118
- Reassigned Medicare billing, Connecticut enrollment
- 78 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
Hamden, CT 06514
- Reassigned Medicare billing, Connecticut enrollment
- 3,728 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01501 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 8
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 Oluwatayo Edwards's NPI number?
The NPI number for Oluwatayo Edwards is 1265148753. It was assigned to this individual provider in the NPPES registry on January 27, 2023.
Where is Oluwatayo Edwards located?
Oluwatayo Edwards practices at 11 Midstate Dr Ste 3, Auburn, MA 01501. The listed phone number is (781) 551-0999.
What is Oluwatayo Edwards's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Oluwatayo Edwards enrolled in Medicare?
Yes. Oluwatayo 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 Oluwatayo Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Oluwatayo Edwards reassigns Medicare benefits to 3 organizations: Intercommunity, Inc. (East Hartford, CT), Hartford Hospital (Hartford, CT) and Yale University (Hamden, CT). 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 Oluwatayo Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Oluwatayo Edwards was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.
# Oluwatayo Edwards · NPI 1265148753
Psychiatric/Mental Health physician in Auburn, Massachusetts. Individual provider, active in the CMS NPPES registry since January 27, 2023.
## Identity
- **NPI:** 1265148753 (Entity type: Individual)
- **Enumerated:** January 27, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN2359413 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 11 MIDSTATE DR STE 3, Auburn, MA 01501-1882
- **Phone:** (781) 551-0999
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Intercommunity, Inc. (NPI 1073548533, East Hartford, CT); Hartford Hospital (NPI 1770696643, Hartford, CT); Yale University (NPI 1134391824, Hamden, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265148753) · Data from the CMS NPPES public registry.