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EDWARD NEWTON APNP
NPI 1417285206
Nurse Practitioner - Gerontology in Menomonie, WI

Active since December 07, 2009PECOS Enrolled
91.42/100
CMS Quality Rating
3120 SCHNEIDER AVE SE, SUITE 3, MENOMONIE, WI 54751(715) 233-3890(715) 838-2910 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Edward Newton Apnp NPPES

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

EDWARD NEWTON APNP (NPI 1417285206) is an individual gerontology provider in Menomonie, Wisconsin, licensed in Wisconsin (169202) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417285206
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameEDWARD NEWTONCredential: APNP
Location Address3120 SCHNEIDER AVE SE, SUITE 3Menomonie, WI 54751-2591
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-2720 · Fax (612) 904-4243
Phone(715) 233-3890
Fax(715) 838-2910
Sole ProprietorYes
Enumeration DateDecember 7, 2009
Last NPPES UpdateApril 1, 2015
✔ NPI 1417285206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in WI · 169202
3120 SCHNEIDER AVE SE, Menomonie, WI 54751
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Newton Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Edward Newton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Matrix Medical Plus
659 mi
Nurse Practitioner
424 CHURCH ST STE 2600
Nashville, TN 37219
  • Reassigned Medicare billing, Minnesota enrollment
  • 126 clinicians in this Medicare group
NPI 1376973461 (877) 564-3627

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 54751 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

Other Providers at the Same Location NPPES

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

MENOMONIE CHIROPRACTIC CENTER SC
Chiropractor
3120 SCHNEIDER AVE SE, STE # 5
MENOMONIE, WI 54751
Dunn County (715) 232-8858

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 Newton's NPI number?

The NPI number for Edward Newton is 1417285206. It was assigned to this individual provider in the NPPES registry on December 7, 2009.

Where is Edward Newton located?

Edward Newton practices at 3120 Schneider Ave SE Suite 3, Menomonie, WI 54751. The listed phone number is (715) 233-3890.

What is Edward Newton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Edward Newton enrolled in Medicare?

Yes. Edward Newton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Newton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Newton reassigns Medicare benefits to Matrix Medical Plus (Nashville, TN). 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 Edward Newton'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 Edward Newton was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.