CLAIRE EDWINS
NPI 1740872449
Nurse Practitioner in Sequim, WA

Active since February 04, 2021PECOS EnrolledAccepts Medicare Assignment
80.97/100
CMS Quality Rating
840 N 5TH AVE STE 1500, SEQUIM, WA 98382(360) 565-0999(360) 565-9251 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 11, 2025, Apr 4, 2024, Feb 4, 2021 (3 updates tracked since 2021).

About Claire Edwins NPPES

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

CLAIRE EDWINS (NPI 1740872449) is an individual nurse practitioner in Sequim, Washington, licensed in Washington (AP61111879) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1740872449
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCLAIRE EDWINS
Location Address840 N 5TH AVE STE 1500Sequim, WA 98382-3045
Mailing AddressPo Box 850Port Angeles, WA 98362-0146 · (360) 565-0999 · Fax (360) 565-9251
Fax(360) 565-9251
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 4, 2021
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1740872449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in WA · AP61111879
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

840 N 5TH AVE STE 1500, Sequim, WA 98382

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

Claire Edwins 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 ID3476968751
PECOS Enrollment IDI20210218001806
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
280 services261 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services117 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services52 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
21 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500064
Location325 9th AvenueSeattle, WA 98104 · King County
Emergency services

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98382 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

80.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.63
Promoting Interoperability79
Improvement Activities40
Cost64.44

Referred Medical Equipment & Supplies CMS DME claims 27

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
19 suppliers1,852 claims1,852 services$45.17 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers18 claims30 services$2.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
12 suppliers710 claims710 services$113.22 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
12 suppliers790 claims1,724 services$43.16 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers866 claims4,295 services$24.46 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
10 suppliers591 claims2,990 services$18.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Pulmonary Disease)
840 N 5TH AVE STE 1500
SEQUIM, WA 98382
Internal Medicine (Gastroenterology)
840 N 5TH AVE STE 1500
SEQUIM, WA 98382
Physician Assistant
840 N 5TH AVE STE 1500
SEQUIM, WA 98382
Physician Assistant
840 N 5TH AVE STE 1500
SEQUIM, WA 98382
Internal Medicine (Cardiovascular Disease)
840 N 5TH AVE STE 1500
SEQUIM, WA 98382
Physician Assistant
840 N 5TH AVE STE 1500
SEQUIM, WA 98382
Internal Medicine (Gastroenterology)
840 N 5TH AVE STE 1500
SEQUIM, WA 98382
Nurse Practitioner
840 N 5TH AVE STE 1500
SEQUIM, WA 98382

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 Claire Edwins's NPI number?

The NPI number for Claire Edwins is 1740872449. It was assigned to this individual provider in the NPPES registry on February 4, 2021.

Where is Claire Edwins located?

Claire Edwins practices at 840 N 5th Ave Ste 1500, Sequim, WA 98382. The listed phone number is (360) 565-0999.

What is Claire Edwins's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Claire Edwins enrolled in Medicare?

Yes. Claire Edwins 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 Claire Edwins accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Claire Edwins 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 Claire Edwins affiliated with any hospitals?

According to CMS data, Claire Edwins is affiliated with Harborview Medical Center and Olympic Medical Center.

When was this NPI record last updated?

The NPPES record for Claire Edwins was last updated on August 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.