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EDMUND ADEM PMHNP-BC
NPI 1275190076
Nurse Practitioner - Psychiatric/Mental Health in Worcester, MA

Active since May 28, 2019PECOS Enrolled
26 QUEEN ST STE 13, WORCESTER, MA 01610(508) 860-7700 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 9, 2025, Nov 14, 2024, May 28, 2019 (3 updates tracked since 2019).

About Edmund Adem Pmhnp-bc NPPES

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

EDMUND ADEM PMHNP-BC (NPI 1275190076) is an individual psychiatric/mental health provider in Worcester, Massachusetts, licensed in Massachusetts (RN2332683) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275190076
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEDMUND ADEMCredential: PMHNP-BC
Location Address26 QUEEN ST STE 13Worcester, MA 01610-2478
Mailing Address26 Queen St Ste 13Worcester, MA 01610-2478 · (598) 860-7700 · Fax (508) 860-7865
Phone(508) 860-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 28, 2019
Last NPPES UpdateJune 9, 20253 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1275190076 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
License✔ Licensed in MA · RN2332683
26 QUEEN ST STE 13, Worcester, MA 01610
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edmund Adem Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628503836
PECOS Enrollment IDI20241125003917
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 Edmund Adem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Health Center Of Worcester, Inc.
Same address
Federally Qualified Health Center (FQHC)
26 QUEEN ST, MEDICAL SERVICES
Worcester, MA 01610
  • Reassigned Medicare billing, Massachusetts enrollment
  • 110 clinicians in this Medicare group
NPI 1841200664 (508) 860-7962
Thrive Counseling LLC
513 mi
Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, Massachusetts enrollment
  • 250 clinicians in this Medicare group
NPI 1215181300 (855) 284-7483

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 01610 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

EUNICE ASARE
Nurse Practitioner (Primary Care)
26 QUEEN ST STE 13
WORCESTER, MA 01610
Worcester County (508) 860-7700
DR. MUHAMMAD EROS XHEMALI PHARMD, RPH
Pharmacist
26 QUEEN ST STE 13
WORCESTER, MA 01610
Worcester County (508) 860-7790
SIERRA ESTES LICSW
Social Worker (Clinical)
26 QUEEN ST STE 13
WORCESTER, MA 01610
Worcester County (508) 860-7700
ALEXIS MARISSA MOONEY CORCORAN MD
Student in an Organized Health Care Education/Training Program
26 QUEEN ST STE 13
WORCESTER, MA 01610
Worcester County (508) 334-1000
DR. MAXWELL CAIN MESSINGER MD
Student in an Organized Health Care Education/Training Program
26 QUEEN ST STE 13
WORCESTER, MA 01610
Worcester County (508) 334-1000
GEORGE DILLING
Social Worker (Clinical)
26 QUEEN ST STE 13
WORCESTER, MA 01610
Worcester County (508) 860-7700
MS. JAMIE ELLEN RUSSELL RDH
Dental Hygienist
26 QUEEN ST STE 13
WORCESTER, MA 01610
Worcester County (508) 963-7300
MARIA ELIZABETH ESPINAL MSW
Social Worker (Clinical)
26 QUEEN ST STE 13
WORCESTER, MA 01610
Worcester County (508) 860-7930

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 Edmund Adem's NPI number?

The NPI number for Edmund Adem is 1275190076. It was assigned to this individual provider in the NPPES registry on May 28, 2019.

Where is Edmund Adem located?

Edmund Adem practices at 26 Queen St Ste 13, Worcester, MA 01610. The listed phone number is (508) 860-7700.

What is Edmund Adem's specialty?

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

Is Edmund Adem enrolled in Medicare?

Yes. Edmund Adem is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edmund Adem's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edmund Adem reassigns Medicare benefits to 2 organizations: Family Health Center Of Worcester, Inc. (Worcester, MA) and Thrive Counseling LLC (Lynchburg, VA). 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 Edmund Adem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edmund Adem accept?

Health plans from Harvard Pilgrim Health Care and Taro Health list Edmund Adem 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 Edmund Adem was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.