KENIESHA EDWARDS
NPI 1790561876
Nurse Practitioner - Family in Delray Beach, FL

Q: What is Keniesha Edwards's NPI number?

The NPI number for Keniesha Edwards is 1790561876. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Q: What is Keniesha Edwards'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 Keniesha Edwards was last updated on December 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 05, 2023PECOS EnrolledAccepts Medicare Assignment

225 S CONGRESS AVE, DELRAY BEACH, FL 33445(561) 274-3100(561) 266-6629 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2023, Sep 5, 2023 (2 updates tracked since 2023).

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About Keniesha Edwards NPPES

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

KENIESHA EDWARDS (NPI 1790561876) is an individual family provider in Delray Beach, Florida, licensed in Florida (APRN11024485) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790561876

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENIESHA EDWARDS

Location Address225 S CONGRESS AVEDelray Beach, FL 33445-4616

Mailing Address800 Clematis St Ste 5-531West Palm Beach, FL 33401-5107 · (561) 671-4036

Phone(561) 274-3100

Fax(561) 266-6629

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 5, 2023

Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration

NPPES CertifiedDecember 12, 2023

✔ NPI 1790561876 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 FL · APRN11024485

225 S CONGRESS AVE, Delray Beach, FL 33445

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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

Keniesha Edwards 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 ID244694974

PECOS Enrollment IDI20230914001023

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33445 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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Other Providers at the Same Location NPPES 17

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

MRS. JANET A KWATENG ARNP

Nurse Practitioner (Obstetrics & Gynecology)