NAKIA ANTOINETTE EDWARDS
NPI 1548725310
Nurse Practitioner - Primary Care in Modesto, CA
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, maintains 3 additional practice locations, and is a graduate of University Of South Alabama College Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Nakia Edwards reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Modesto, CA 95355
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
Elk Grove, CA 95758
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
Roseville, CA 95661
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Telemedicine Group PC
- 205 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 136 clinicians in this Medicare group
Burlington, VT 05401
- Reassigned Medicare billing, Vermont enrollment
- 1,643 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
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.
Which organizations bill Medicare for Nakia Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nakia Edwards reassigns Medicare benefits to 5 organizations: Sutter Valley Medical Foundation (Modesto, CA), Otashe Golden, MD, Inc. (Elk Grove, CA), Telehealth Specialty Medical Group (Roseville, CA), Dickinson County Healthcare System (Iron River, MI) and University Of Vermont Medical Center Inc (Burlington, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nakia Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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, HealthPartners and Network Health and 1 other insurer 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.
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 17 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.
# Nakia Antoinette Edwards · NPI 1548725310
Primary Care physician in Modesto, California. Individual provider, active in the CMS NPPES registry since February 6, 2019.
## Identity
- **NPI:** 1548725310 (Entity type: Individual)
- **Enumerated:** February 6, 2019
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** NP95011384 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1541 FLORIDA AVE STE 100, Modesto, CA 95350-4438
- **Phone:** (209) 577-3388 · **Fax:** (209) 338-0024
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sutter Valley Medical Foundation (NPI 1669846986, Modesto, CA); Otashe Golden, MD, Inc. (NPI 1912165598, Elk Grove, CA); Telehealth Specialty Medical Group (NPI 1326338237, Roseville, CA); Dickinson County Healthcare System (NPI 1154364586, Iron River, MI); University Of Vermont Medical Center Inc (NPI 1659309615, Burlington, VT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2021
## Record status
- **NPPES last updated:** May 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1548725310) · Data from the CMS NPPES public registry.