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ERICA C EDLUND ARNP
NPI 1295104255
Nurse Practitioner in Boynton Beach, FL

Active since September 21, 2015PECOS EnrolledAccepts Medicare Assignment
10151 ENTERPRISE CTR, SUITE 108, BOYNTON BEACH, FL 33437(561) 740-4855(561) 740-4755 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 3, 2019, Sep 26, 2016, Mar 4, 2016 (3 updates tracked since 2016).

About Erica C Edlund Arnp NPPES

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

ERICA C EDLUND ARNP (NPI 1295104255) is an individual nurse practitioner in Boynton Beach, Florida, licensed in Florida (ARNP9344028) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295104255
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameERICA C EDLUNDCredential: ARNP
Location Address10151 ENTERPRISE CTR, SUITE 108Boynton Beach, FL 33437-3759
Mailing Address10151 Enterprise Ctr, Suite 108Boynton Beach, FL 33437-3759 · (561) 740-4855
Phone(561) 740-4855
Fax(561) 740-4755
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 21, 2015
Last NPPES UpdateMay 3, 20193 updates tracked since enumeration
✔ NPI 1295104255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · ARNP9344028
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
10151 ENTERPRISE CTR, Boynton Beach, FL 33437
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Erica C Edlund Arnp 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 ID4880996909
PECOS Enrollment IDI20160106002926
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 Reassignment

Medicare enrollment records show Erica Edlund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

American Arthritis & Rheumatology Associates LLC
28 mi
Rheumatology
1025 MILITARY TRL STE 200
Jupiter, FL 33458
  • Reassigned Medicare billing, Florida enrollment
  • 80 clinicians in this Medicare group
NPI 1598205072 (561) 747-1987

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
75 services59 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33437 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTH PALM MEDICAL ASSOCIATES
Internal Medicine
10151 ENTERPRISE CTR, SUITE 101
BOYNTON BEACH, FL 33437
Palm Beach County (561) 734-4352
DAVID CRAIG HELLMAN DO PA
Internal Medicine (Gastroenterology)
10151 ENTERPRISE CTR, SUITE 103
BOYNTON BEACH, FL 33437
Palm Beach County (561) 733-0379
IBIS MEDICAL CORPORATION
Internal Medicine (Gastroenterology)
10151 ENTERPRISE CTR, SUITE 106
BOYNTON BEACH, FL 33437
Palm Beach County (561) 737-0211
KEVIN PALLONE MPT PA
Physical Therapist
10151 ENTERPRISE CTR, SUITE 107
BOYNTON BEACH, FL 33437
Palm Beach County (561) 859-6711
PALM BEACH INSTITUTE OF HEMATOLOGY & ONCOLOGY, LLC
Specialist
10151 ENTERPRISE CTR, SUITE 102
BOYNTON BEACH, FL 33437
Palm Beach County (561) 847-2494
DR. DAVID CRAIG HELLMAN D.O.
Internal Medicine (Gastroenterology)
10151 ENTERPRISE CTR, STE 103
BOYNTON BEACH, FL 33437
Palm Beach County (561) 733-0379

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 Erica Edlund's NPI number?

The NPI number for Erica Edlund is 1295104255. It was assigned to this individual provider in the NPPES registry on September 21, 2015.

Where is Erica Edlund located?

Erica Edlund practices at 10151 Enterprise Ctr Suite 108, Boynton Beach, FL 33437. The listed phone number is (561) 740-4855.

What is Erica Edlund's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Erica Edlund enrolled in Medicare?

Yes. Erica Edlund 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 organization bills Medicare for Erica Edlund's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erica Edlund reassigns Medicare benefits to American Arthritis & Rheumatology Associates LLC (Jupiter, FL). The 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 Erica Edlund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erica Edlund accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Cigna HealthCare of Florida, Inc. and Cigna Healthcare and 2 other insurers list Erica Edlund 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.

Is Erica Edlund affiliated with any hospitals?

According to CMS data, Erica Edlund is affiliated with Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Erica Edlund was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.