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EDDAH KINYUA NP
NPI 1508539271
Nurse Practitioner - Family in Green Cove Springs, FL

Active since July 28, 2021PECOS EnrolledAccepts Medicare Assignment
467 NORTH ST STE A, GREEN COVE SPRINGS, FL 32043(904) 284-3061 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2026, Jul 28, 2021 (2 updates tracked since 2021).

About Eddah Kinyua Np NPPES

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

EDDAH KINYUA NP (NPI 1508539271) is an individual family provider in Green Cove Springs, Florida, licensed in Florida (APRN11021334) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Las Vegas, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1508539271
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDDAH KINYUACredential: NP
Location Address467 NORTH ST STE AGreen Cove Springs, FL 32043-2939
Mailing Address2460 Old Moultrie Rd Ste 1St Augustine, FL 32086-4198 · (702) 645-0332
Phone(904) 284-3061
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 28, 2021
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1508539271 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
Licenses✔ Licensed in FL · APRN11021334✔ Licensed in NV · 828065
467 NORTH ST STE A, Green Cove Springs, FL 32043
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Secondary Practice Location 1

Location 14755 W Ann RdNorth Las Vegas, NV 89031-3424 · Phone (702) 645-0332

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

Eddah Kinyua Np 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 ID4981094463
PECOS Enrollment IDI20250721000512
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 32043 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Eddah Kinyua's NPI number?

The NPI number for Eddah Kinyua is 1508539271. It was assigned to this individual provider in the NPPES registry on July 28, 2021.

Where is Eddah Kinyua located?

Eddah Kinyua practices at 467 North St Ste A, Green Cove Springs, FL 32043. The listed phone number is (904) 284-3061.

What is Eddah Kinyua's specialty?

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

Is Eddah Kinyua enrolled in Medicare?

Yes. Eddah Kinyua 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.

When was this NPI record last updated?

The NPPES record for Eddah Kinyua was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.