KEVIN EDELEN NP
NPI 1780155291
Nurse Practitioner - Family in Durham, NC

Q: What is Kevin Edelen's NPI number?

The NPI number for Kevin Edelen is 1780155291. It was assigned to this individual provider in the NPPES registry on December 10, 2018.

Q: What is Kevin Edelen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Edelen was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 10, 2018PECOS EnrolledAccepts Medicare Assignment

5102 N ROXBORO ST, DURHAM, NC 27704(919) 680-1045 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2021, Oct 26, 2020, Feb 18, 2019 and 2 more (5 updates tracked since 2018).

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About Kevin Edelen Np NPPES

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

KEVIN EDELEN NP (NPI 1780155291) is an individual family provider in Durham, North Carolina, licensed in North Carolina (5011419) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Georgetown University School Of Medicine (2018).

NPPES Registry Identity

NPI1780155291

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKEVIN EDELENCredential: NP

Location Address5102 N ROXBORO STDurham, NC 27704-1420

Mailing Address5213 S Alston AveDurham, NC 27713-4430 · (919) 620-4855

Phone(919) 680-1045

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 2018

Enumeration DateDecember 10, 2018

Last NPPES UpdateAugust 21, 20255 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1780155291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NC · 5011419

5102 N ROXBORO ST, Durham, NC 27704

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Kevin Edelen Np 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 ID244566941

PECOS Enrollment IDI20190801000801

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

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 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.

39 services38 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340155

Location3643 N Roxboro StreetDurham, NC 27704 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Other Providers at the Same Location NPPES 5

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

MRS. SUFANNA BERNARDUCI LCSW

Social Worker (Clinical)