MRS. LORI N. EDGINGTON APRN.CNP
NPI 1447640727
Nurse Practitioner - Family in Dayton, OH

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
76.79/100
CMS Quality Rating
30 E APPLE ST STE 1480, DAYTON, OH 45409(937) 208-7240(937) 208-7242 Get Directions Write a Review

NPPES record last updated: October 14, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 14, 2020, Mar 17, 2018, Aug 21, 2017 (3 updates tracked since 2017).

About Mrs. Lori N. Edgington Aprn.cnp NPPES

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

MRS. LORI N. EDGINGTON APRN.CNP (NPI 1447640727) is an individual family provider in Dayton, Ohio, licensed in Ohio (COA.16998-NP) and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and maintains a secondary practice location in Dayton.

NPPES Registry Identity

NPI1447640727
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LORI N. EDGINGTONCredential: APRN.CNP
Location Address30 E APPLE ST STE 1480Dayton, OH 45409-2939
Mailing Address1 Prestige Pl Ste 550Miamisburg, OH 45342-6115 · (937) 762-1310 · Fax (937) 522-8493
Fax(937) 208-7242
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateJanuary 26, 2015
Last NPPES UpdateOctober 14, 20203 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
NPI 1447640727 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 OH · COA.16998-NP
30 E APPLE ST STE 1480, Dayton, OH 45409

Secondary Practice Location 1

Location 1540 Lincoln Park Blvd Ste 200Dayton, OH 45429-6403 · Phone (937) 298-8058 · Fax (937) 298-5638

Other Identifiers 1

Medicaid0118731OH

Accepted 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

Mrs. Lori N. Edgington Aprn.cnp 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 ID3274859962
PECOS Enrollment IDI20150223001216
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Upper Valley Medical Center

Acute Care Hospitals · Troy, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360174
Location3130 North County Road 25ATroy, OH 45373 · Miami County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

76.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.65
Promoting Interoperability100
Improvement Activities40
Cost57.98

Other Providers at the Same Location NPPES 7

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

Physician Assistant
30 E APPLE ST STE 1480
DAYTON, OH 45409
Thoracic Surgery (Cardiothoracic Vascular Surgery)
30 E APPLE ST STE 1480
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 1480
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 1480
DAYTON, OH 45409
Nurse Practitioner (Family)
30 E APPLE ST STE 1480
DAYTON, OH 45409
Physician Assistant
30 E APPLE ST STE 1480
DAYTON, OH 45409
Surgery
30 E APPLE ST STE 1480
DAYTON, OH 45409

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 Lori Edgington's NPI number?

The NPI number for Lori Edgington is 1447640727. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Lori Edgington located?

Lori Edgington practices at 30 E Apple St Ste 1480, Dayton, OH 45409. The listed phone number is (937) 208-7240.

What is Lori Edgington's specialty?

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

Is Lori Edgington enrolled in Medicare?

Yes. Lori Edgington 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 Lori Edgington accept?

Health plans from CareSource and MedMutual list Lori Edgington 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 Lori Edgington affiliated with any hospitals?

According to CMS data, Lori Edgington is affiliated with Miami Valley Hospital, Atrium Medical Center and Upper Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Lori Edgington was last updated on October 14, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.