DANIELA M EDSON AGACNP, NP
NPI 1447721105
Nurse Practitioner - Gerontology in South Bend, IN

Q: What is Daniela Edson's NPI number?

The NPI number for Daniela Edson is 1447721105. It was assigned to this individual provider in the NPPES registry on December 6, 2018.

Q: What is Daniela Edson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniela Edson was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 06, 2018PECOS Enrolled

621 MEMORIAL DR STE 502, SOUTH BEND, IN 46601(574) 647-5875(574) 647-5878 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2021, May 1, 2019, Apr 2, 2019 and 1 more (4 updates tracked since 2018).

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About Daniela M Edson Agacnp, Np NPPES

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

DANIELA M EDSON AGACNP, NP (NPI 1447721105) is an individual gerontology provider in South Bend, Indiana, licensed in Indiana (71008852A) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447721105

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameDANIELA M EDSONCredential: AGACNP, NP

Location Address621 MEMORIAL DR STE 502South Bend, IN 46601-1075

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-1610 · Fax (574) 237-6069

Phone(574) 647-5875

Fax(574) 647-5878

Sole ProprietorNo

Enumeration DateDecember 6, 2018

Last NPPES UpdateMarch 14, 20244 updates tracked since enumeration

NPPES CertifiedMarch 14, 2024

✔ NPI 1447721105 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 IN · 71008852A

621 MEMORIAL DR STE 502, South Bend, IN 46601

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Other Identifiers 1

Medicaid300024411IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Daniela M Edson Agacnp, Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46601 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 19

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

DR. ROBERT G. CREDI MD

Surgery