ANN-MARIE EDWARDS MD
NPI 1619318508
Hospitalist in Oshkosh, WI

Active since July 09, 2013PECOS EnrolledAccepts Medicare Assignment
77.77/100
CMS Quality Rating
500 S OAKWOOD RD, OSHKOSH, WI 54904(920) 223-2000 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 30, 2023, Aug 24, 2016 (2 updates tracked since 2016).

About Ann-marie Edwards Md NPPES

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

ANN-MARIE EDWARDS MD (NPI 1619318508) is an individual hospitalist provider in Oshkosh, Wisconsin, licensed in Wisconsin (65152) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1619318508
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameANN-MARIE EDWARDSCredential: MD
Location Address500 S OAKWOOD RDOshkosh, WI 54904
Mailing Address500 S Oakwood RdOshkosh, WI 54904-7944 · (920) 223-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 9, 2013
Last NPPES UpdateJanuary 30, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2023
NPI 1619318508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 65152
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301102884 (MI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 4301102884 (MI)
500 S OAKWOOD RD, Oshkosh, WI 54904

Other Identifiers 1

Medicaid100056587WI

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

Ann-marie Edwards Md 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 ID8123259629
PECOS Enrollment IDI20160608001608
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 5

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
259 services89 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
76 services69 patients
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.
74 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520009
Location1506 S Oneida StAppleton, WI 54915 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

77.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.47
Promoting Interoperability77
Improvement Activities40
Cost63.8

Other Providers at the Same Location NPPES 20

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

Speech-Language Pathologist
500 S OAKWOOD RD
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
500 S OAKWOOD RD
OSHKOSH, WI 54904
General Acute Care Hospital
500 S OAKWOOD RD
OSHKOSH, WI 54904
Nurse Practitioner (Family)
500 S OAKWOOD RD
OSHKOSH, WI 54904
Registered Nurse
500 S OAKWOOD RD
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
500 S OAKWOOD RD
OSHKOSH, WI 54904
Psychologist (Clinical)
500 S OAKWOOD RD
OSHKOSH, WI 54904
Anesthesiology
500 S OAKWOOD RD
OSHKOSH, WI 54904

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 Ann-marie Edwards's NPI number?

The NPI number for Ann-marie Edwards is 1619318508. It was assigned to this individual provider in the NPPES registry on July 9, 2013.

Where is Ann-marie Edwards located?

Ann-marie Edwards practices at 500 S Oakwood Rd, Oshkosh, WI 54904. The listed phone number is (920) 223-2000.

What is Ann-marie Edwards's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ann-marie Edwards enrolled in Medicare?

Yes. Ann-marie 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.

Is Ann-marie Edwards affiliated with any hospitals?

According to CMS data, Ann-marie Edwards is affiliated with Ascension NE Wisconsin - St Elizabeth Campus.

When was this NPI record last updated?

The NPPES record for Ann-marie Edwards was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.