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DAVID EDWARDS APRN, MSN, PMHNP-BC
NPI 1467025981
Nurse Practitioner - Psychiatric/Mental Health in Crestview Hills, KY

Active since July 22, 2021PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
334 THOMAS MORE PKWY STE 120, CRESTVIEW HILLS, KY 41017(859) 301-5901(859) 301-5940 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 28, 2023, Nov 9, 2022, Aug 27, 2021 and 1 more (4 updates tracked since 2021).

About David Edwards Aprn, Msn, Pmhnp-bc NPPES

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

DAVID EDWARDS APRN, MSN, PMHNP-BC (NPI 1467025981) is an individual psychiatric/mental health provider in Crestview Hills, Kentucky, licensed in Kentucky (3016305) and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1467025981
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDAVID EDWARDSCredential: APRN, MSN, PMHNP-BC
Location Address334 THOMAS MORE PKWY STE 120Crestview Hills, KY 41017-3496
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-5901 · Fax (859) 301-5940
Phone(859) 301-5901
Fax(859) 301-5940
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 22, 2021
Last NPPES UpdateMarch 28, 20234 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1467025981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in KY · 3016305
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3016305 (KY)
334 THOMAS MORE PKWY STE 120, Crestview Hills, KY 41017
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

David Edwards Aprn, Msn, Pmhnp-bc 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 ID4587061585
PECOS Enrollment IDI20210917000925
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
302 services141 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
211 services193 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
118 services28 patients
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.
67 services25 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
53 services20 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
46 services14 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

ADRIENNE HEUSMANN MMS, PA-C
Physician Assistant
334 THOMAS MORE PKWY STE 120
CRESTVIEW HILLS, KY 41017
Kenton County (859) 301-0591

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 David Edwards's NPI number?

The NPI number for David Edwards is 1467025981. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is David Edwards located?

David Edwards practices at 334 Thomas More Pkwy Ste 120, Crestview Hills, KY 41017. The listed phone number is (859) 301-5901.

What is David Edwards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is David Edwards enrolled in Medicare?

Yes. David Edwards 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 David Edwards accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list David Edwards 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 David Edwards affiliated with any hospitals?

According to CMS data, David Edwards is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for David Edwards was last updated on March 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.