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MARISSA NICOLE EDWARDS CPNP-PC
NPI 1811593775
Nurse Practitioner - Pediatrics in East Syracuse, NY

Active since December 07, 2020PECOS Enrolled
6711 TOWPATH RD STE 235, EAST SYRACUSE, NY 13057(315) 471-2646(315) 471-1762 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2025, Jan 14, 2021, Dec 7, 2020 (3 updates tracked since 2020).

About Marissa Nicole Edwards Cpnp-pc NPPES

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

MARISSA NICOLE EDWARDS CPNP-PC (NPI 1811593775) is an individual pediatrics provider in East Syracuse, New York, licensed in New York (383174) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811593775
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARISSA NICOLE EDWARDSCredential: CPNP-PC
Location Address6711 TOWPATH RD STE 235East Syracuse, NY 13057-9509
Mailing Address6711 Towpath Rd Ste 235East Syracuse, NY 13057-9509 · (315) 471-2646 · Fax (315) 471-1762
Phone(315) 471-2646
Fax(315) 471-1762
Sole ProprietorNo
Enumeration DateDecember 7, 2020
Last NPPES UpdateMay 22, 20253 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1811593775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in NY · 383174✔ Licensed in NY · F383174-01✔ Licensed in NY · F383174
6711 TOWPATH RD STE 235, East Syracuse, NY 13057
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Other Names 1

Other Name (5)Mrs. Marissa Bidwell

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Nicole Edwards Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 13057 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 3

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

MADISON IRVING PEDIATRICS, PC
Pediatrics (Adolescent Medicine)
6711 TOWPATH RD STE 235
EAST SYRACUSE, NY 13057
Onondaga County (315) 471-2646
DR. KAVITA SETH DO
Pediatrics
6711 TOWPATH RD STE 235
EAST SYRACUSE, NY 13057
Onondaga County (315) 471-2646
DR. TAMORA I. GALLAGHER D.O.
Pediatrics
6711 TOWPATH RD STE 235
EAST SYRACUSE, NY 13057
Onondaga County (315) 471-2646

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 Marissa Edwards's NPI number?

The NPI number for Marissa Edwards is 1811593775. It was assigned to this individual provider in the NPPES registry on December 7, 2020. The provider is also known as Mrs. Marissa Bidwell.

Where is Marissa Edwards located?

Marissa Edwards practices at 6711 Towpath Rd Ste 235, East Syracuse, NY 13057. The listed phone number is (315) 471-2646.

What is Marissa Edwards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Marissa Edwards enrolled in Medicare?

Yes. Marissa Edwards is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Edwards was last updated on May 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.