EDWIN AFENA PA
NPI 1699412288
Physician Assistant in Albany, NY

Active since May 16, 2022PECOS EnrolledAccepts Medicare Assignment
315 S MANNING BLVD, ALBANY, NY 12208(518) 525-1550 Get Directions Write a Review

NPPES record last updated: November 15, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 15, 2022, May 16, 2022 (2 updates tracked since 2022).

About Edwin Afena Pa NPPES

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

EDWIN AFENA PA (NPI 1699412288) is an individual physician assistant in Albany, New York, licensed in New York (029341) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1699412288
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEDWIN AFENACredential: PA
Location Address315 S MANNING BLVDAlbany, NY 12208-1707
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Sole ProprietorNo
Medical School CMSOther
Enumeration DateMay 16, 2022
Last NPPES UpdateNovember 15, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
NPI 1699412288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 029341
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
315 S MANNING BLVD, Albany, NY 12208

Secondary Practice Locations 2

Location 12215 Burdett AveTroy, NY 12180-2466 · Phone (518) 271-3300
Location 2600 Northern BlvdAlbany, NY 12204-1004 · Phone (518) 471-3221

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

Edwin Afena Pa 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 ID7416326798
PECOS Enrollment IDI20221208000486
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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,579 services242 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,272 services229 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
705 services156 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
664 services156 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
633 services148 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
537 services156 patients

Hospital Affiliations CMS Care Compare

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

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.

Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Emergency Response System Companies
315 S MANNING BLVD
ALBANY, NY 12208
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Pharmacist
315 S MANNING BLVD
ALBANY, NY 12208
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208
Hospitalist
315 S MANNING BLVD
ALBANY, NY 12208
Radiology (Diagnostic Radiology)
315 S MANNING BLVD
ALBANY, NY 12208
Physician Assistant
315 S MANNING BLVD
ALBANY, NY 12208

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 Edwin Afena's NPI number?

The NPI number for Edwin Afena is 1699412288. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Where is Edwin Afena located?

Edwin Afena practices at 315 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 525-1550.

What is Edwin Afena's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Edwin Afena enrolled in Medicare?

Yes. Edwin Afena 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 Edwin Afena affiliated with any hospitals?

According to CMS data, Edwin Afena is affiliated with St Peter's Hospital.

When was this NPI record last updated?

The NPPES record for Edwin Afena was last updated on November 15, 2022. 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.