1. Home
  2. Directory
  3. Arizona
  4. Phoenix
  5. Nurse Practitioner
  6. NPI Profile

EDWARD VIDAL FNP
NPI 1386123305
Nurse Practitioner - Family in Phoenix, AZ

Active since August 09, 2018PECOS EnrolledAccepts Medicare Assignment
2331 W CARSON RD, PHOENIX, AZ 85041(602) 516-2494 Get Directions Write a Review

NPPES record last updated: November 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2018, Aug 9, 2018 (2 updates tracked since 2018).

About Edward Vidal Fnp NPPES

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

EDWARD VIDAL FNP (NPI 1386123305) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP11639) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1386123305
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDWARD VIDALCredential: FNP
Location Address2331 W CARSON RDPhoenix, AZ 85041-6408
Mailing Address2331 W Carson RdPhoenix, AZ 85041-6408
Phone(602) 516-2494
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateAugust 9, 2018
Last NPPES UpdateNovember 21, 20182 updates tracked since enumeration
✔ NPI 1386123305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP11639
2331 W CARSON RD, Phoenix, AZ 85041
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.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

Edward Vidal Fnp 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 ID4082954052
PECOS Enrollment IDI20190329001103
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
57 services56 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85041 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Edward Vidal's NPI number?

The NPI number for Edward Vidal is 1386123305. It was assigned to this individual provider in the NPPES registry on August 9, 2018.

Where is Edward Vidal located?

Edward Vidal practices at 2331 W Carson Rd, Phoenix, AZ 85041. The listed phone number is (602) 516-2494.

What is Edward Vidal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edward Vidal enrolled in Medicare?

Yes. Edward Vidal 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 Edward Vidal accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. list Edward Vidal 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 Edward Vidal was last updated on November 21, 2018. 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.