DR. NINA K. EDWARDS MD.
NPI 1619961067
Surgery in Lewiston, ME

Active since August 31, 2005PECOS EnrolledAccepts Medicare Assignment
83.28/100
CMS Quality Rating
12 HIGH ST, STE. 401, LEWISTON, ME 04240(207) 795-5767(207) 795-2732 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nina K. Edwards Md. NPPES

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

DR. NINA K. EDWARDS MD. (NPI 1619961067) is an individual surgery provider in Lewiston, Maine, licensed in Maine (017148) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Adena Regional Medical Center, and maintains a secondary practice location in Chillicothe.

NPPES Registry Identity

NPI1619961067
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. NINA K. EDWARDSCredential: MD.
Location Address12 HIGH ST, STE. 401Lewiston, ME 04240-7676
Mailing Address12 High St, Ste. 401Lewiston, ME 04240-7676 · (207) 795-5767 · Fax (207) 795-2732
Fax(207) 795-2732
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1998
Enumeration DateAugust 31, 2005
Last NPPES UpdateJanuary 11, 2021
NPPES CertifiedJanuary 11, 2021
NPI 1619961067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in ME · 017148
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
12 HIGH ST, Lewiston, ME 04240

Secondary Practice Location 1

Location 14439 State Route 159 Ste 270Chillicothe, OH 45601-7502 · Phone (740) 779-4550

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

Dr. Nina K. 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 ID7517868276
PECOS Enrollment IDI20200409002947
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.

Hospital Affiliations CMS Care Compare

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

Adena Regional Medical Center

Acute Care Hospitals · Chillicothe, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360159
Location272 Hospital RoadChillicothe, OH 45601 · Ross County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04240 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
Most-billed visit code 99213
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.

83.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality58.73
Promoting Interoperability100
Improvement Activities40

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.

Otolaryngology
12 HIGH ST, STE 102
LEWISTON, ME 04240
Surgery (Trauma Surgery)
12 HIGH ST, STE. 401
LEWISTON, ME 04240
Pharmacist
12 HIGH ST
LEWISTON, ME 04240
Internal Medicine
12 HIGH ST, STE 400
LEWISTON, ME 04240
Physician Assistant
12 HIGH ST, STE. 401
LEWISTON, ME 04240
Otolaryngology
12 HIGH ST, STE. 102
LEWISTON, ME 04240
Pediatrics
12 HIGH ST, STE 301
LEWISTON, ME 04240
Obstetrics & Gynecology
12 HIGH ST, SUITE 200
LEWISTON, ME 04240

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 Nina Edwards's NPI number?

The NPI number for Nina Edwards is 1619961067. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Nina Edwards located?

Nina Edwards practices at 12 High St Ste. 401, Lewiston, ME 04240. The listed phone number is (207) 795-5767.

What is Nina Edwards's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Nina Edwards enrolled in Medicare?

Yes. Nina 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 Nina Edwards accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 2 other insurers list Nina 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 Nina Edwards affiliated with any hospitals?

According to CMS data, Nina Edwards is affiliated with Adena Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nina Edwards was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.