NAKIA ANTOINETTE EDWARDS
NPI 1548725310
Nurse Practitioner - Primary Care in Modesto, CA

Active since February 06, 2019PECOS EnrolledAccepts Medicare Assignment
83.63/100
CMS Quality Rating
1541 FLORIDA AVE STE 100, MODESTO, CA 95350(209) 577-3388(209) 338-0024 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2025, Apr 4, 2024, Mar 22, 2019 and 1 more (4 updates tracked since 2019).

About Nakia Antoinette Edwards NPPES

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

NAKIA ANTOINETTE EDWARDS (NPI 1548725310) is an individual primary care provider in Modesto, California, licensed in California (NP95011384) and active in the NPI registry since February 2019. She is enrolled in Medicare PECOS, is affiliated with Dickinson County Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1548725310
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameNAKIA ANTOINETTE EDWARDS
Location Address1541 FLORIDA AVE STE 100Modesto, CA 95350-4438
Mailing Address3055 Floyd Ave, Apt 245Modesto, CA 95355-7932 · (334) 421-7476
Fax(209) 338-0024
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2021
Enumeration DateFebruary 6, 2019
Last NPPES UpdateMay 12, 20254 updates tracked since enumeration
NPPES CertifiedMay 12, 2025
NPI 1548725310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses Licensed in CA · NP95011384 Licensed in AL · 1-141525
Also ListedNurse PractitionerTaxonomy 363L00000X · License 101.0137900 (VT)
1541 FLORIDA AVE STE 100, Modesto, CA 95350

Other Names 1

Former Name (1)Nakia Antoinette Powell

Secondary Practice Locations 3

Location 13405 Whistler AveModesto, CA 95355-9738 · Phone (334) 421-7476
Location 2111 Colchester AveBurlington, VT 05401-1473 · Phone (802) 847-0000
Location 31 S Prospect StBurlington, VT 05401-3456 · Phone (802) 847-3572

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

Nakia Antoinette Edwards 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 ID4082947643
PECOS Enrollment IDI20190613000972, I20250123000351, I20250509001468
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 10

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.
425 services300 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
248 services159 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
166 services28 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
99 services29 patients
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle 96402
This procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.
55 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.
41 services36 patients

Hospital Affiliations CMS Care Compare 2

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

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230055
Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson County
Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number470003
Location111 Colchester AveBurlington, VT 05401 · Chittenden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

83.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.79
Promoting Interoperability97
Improvement Activities40
Cost62.56

Other Providers at the Same Location NPPES 5

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

Urology
1541 FLORIDA AVE STE 100
MODESTO, CA 95350
Urology
1541 FLORIDA AVE STE 100
MODESTO, CA 95350
Physician Assistant
1541 FLORIDA AVE STE 100
MODESTO, CA 95350
Urology
1541 FLORIDA AVE STE 100
MODESTO, CA 95350
Nurse Practitioner (Family)
1541 FLORIDA AVE STE 100
MODESTO, CA 95350

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 Nakia Edwards's NPI number?

The NPI number for Nakia Edwards is 1548725310. It was assigned to this individual provider in the NPPES registry on February 6, 2019. The provider is also known as Nakia Antoinette Powell.

Where is Nakia Edwards located?

Nakia Edwards practices at 1541 Florida Ave Ste 100, Modesto, CA 95350. The listed phone number is (209) 577-3388.

What is Nakia Edwards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Nakia Edwards enrolled in Medicare?

Yes. Nakia 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 Nakia Edwards accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Network Health and Security Health Plan list Nakia 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 Nakia Edwards affiliated with any hospitals?

According to CMS data, Nakia Edwards is affiliated with Dickinson County Memorial Hospital and Univ. Of Vermont - Fletcher Allen Health Care.

When was this NPI record last updated?

The NPPES record for Nakia Edwards was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.