SHAUN REBECCA EDWARDS APRN
NPI 1679957609
Nurse Practitioner - Primary Care in Crescent City, CA
About Shaun Rebecca Edwards Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUN REBECCA EDWARDS APRN (NPI 1679957609) is an individual primary care provider in Crescent City, California, licensed in Oklahoma (79150) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Shaun Rebecca Edwards Aprn 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
3Medicare enrollment records show Shaun Edwards reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Crescent City, CA 95531
- Reassigned Medicare billing, California enrollment
- 175 clinicians in this Medicare group
Oklahoma City, OK 73134
- Reassigned Medicare billing, Oklahoma enrollment
- 1,058 clinicians in this Medicare group
Atoka, OK 74525
- Reassigned Medicare billing, Texas enrollment
- 581 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95531 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CRESCENT CITY, CA 95531
CRESCENT CITY, CA 95531
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 Shaun Edwards's NPI number?
The NPI number for Shaun Edwards is 1679957609. It was assigned to this individual provider in the NPPES registry on July 20, 2015. The provider is also known as Shaun Rebecca Mccormick Aprn.
Where is Shaun Edwards located?
Shaun Edwards practices at 550 E Washington Blvd Ste 100, Crescent City, CA 95531. The listed phone number is (707) 465-6925.
What is Shaun Edwards's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Shaun Edwards enrolled in Medicare?
Yes. Shaun 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 Shaun Edwards's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Edwards reassigns Medicare benefits to 3 organizations: Open Door Community Health Centers (Crescent City, CA), Integris Ambulatory Care Corporation (Oklahoma City, OK) and Choctaw Nation Of Oklahoma (Atoka, OK). 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 Shaun Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shaun Edwards was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Shaun Rebecca Edwards, APRN · NPI 1679957609
Primary Care physician in Crescent City, California. Individual provider, active in the CMS NPPES registry since July 20, 2015.
## Identity
- **NPI:** 1679957609 (Entity type: Individual)
- **Enumerated:** July 20, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 79150 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 550 E WASHINGTON BLVD STE 100, Crescent City, CA 95531-8161
- **Phone:** (707) 465-6925 · **Fax:** (707) 387-9808
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Open Door Community Health Centers (NPI 1497840656, Crescent City, CA); Integris Ambulatory Care Corporation (NPI 1750333936, Oklahoma City, OK); Choctaw Nation Of Oklahoma (NPI 1902078728, Atoka, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679957609) · Data from the CMS NPPES public registry.