ELLYN MAE EDWARDS PA-C
NPI 1801363023
Physician Assistant - Medical in Indianapolis, IN

Active since October 25, 2018PECOS EnrolledAccepts Medicare Assignment
8402 HARCOURT RD STE 420, INDIANAPOLIS, IN 46260(317) 415-6740 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2018, Oct 25, 2018 (2 updates tracked since 2018).

About Ellyn Mae Edwards Pa-c NPPES

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

ELLYN MAE EDWARDS PA-C (NPI 1801363023) is an individual medical provider in Indianapolis, Indiana, licensed in Indiana (10002590A) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Hospital, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1801363023
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameELLYN MAE EDWARDSCredential: PA-C
Location Address8402 HARCOURT RD STE 420Indianapolis, IN 46260-2053
Mailing Address8402 Harcourt Rd Ste 420Indianapolis, IN 46260-2053
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 25, 2018
Last NPPES UpdateJune 20, 20222 updates tracked since enumeration
NPPES CertifiedJune 20, 2022
NPI 1801363023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IN · 10002590A
8402 HARCOURT RD STE 420, Indianapolis, IN 46260

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

Ellyn Mae Edwards Pa-c 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 ID3577817303
PECOS Enrollment IDI20181114002872
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 2

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.
33 services30 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.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Ascension St Vincent Hospital

Acute Care Hospitals · Indianapolis, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150084
Location2001 W 86th StIndianapolis, IN 46260 · Marion County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

Obstetrics & Gynecology (Gynecologic Oncology)
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260
Physician Assistant
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260
Physician Assistant (Surgical)
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260
Obstetrics & Gynecology (Gynecologic Oncology)
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260
Obstetrics & Gynecology (Gynecologic Oncology)
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260
Obstetrics & Gynecology (Gynecologic Oncology)
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260
Nurse Practitioner (Women's Health)
8402 HARCOURT RD STE 420
INDIANAPOLIS, IN 46260

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 Ellyn Edwards's NPI number?

The NPI number for Ellyn Edwards is 1801363023. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Ellyn Edwards located?

Ellyn Edwards practices at 8402 Harcourt Rd Ste 420, Indianapolis, IN 46260. The listed phone number is (317) 415-6740.

What is Ellyn Edwards's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ellyn Edwards enrolled in Medicare?

Yes. Ellyn 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.

What insurance does Ellyn Edwards accept?

Health plans from CareSource list Ellyn Edwards 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 Ellyn Edwards affiliated with any hospitals?

According to CMS data, Ellyn Edwards is affiliated with Ascension St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Ellyn Edwards was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.