NIKITA R EDMONDS
NPI 1851053185
Nurse Practitioner - Family in Cordova, TN
About Nikita R Edmonds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIKITA R EDMONDS (NPI 1851053185) is a healthcare organization registered as a family in Cordova, Tennessee and active in the NPI registry since October 2021. The organization lists Nikita Edmonds, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nikita R Edmonds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nikita R Edmonds, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Nikita R Edmonds's NPI number?
The NPI number for Nikita R Edmonds is 1851053185. It was assigned to this organization in the NPPES registry on October 13, 2021.
Where is Nikita R Edmonds located?
Nikita R Edmonds is located at 1138 N Germantown Pkwy # 101-102, Cordova, TN 38016. The listed phone number is (901) 444-1083.
What is Nikita R Edmonds's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nikita R Edmonds enrolled in Medicare?
Yes. Nikita R Edmonds is registered in the Medicare PECOS enrollment system.
When is Nikita R Edmonds's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Tennessee, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Nikita R Edmonds?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Nikita R Edmonds. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nikita R Edmonds was last updated on June 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Nikita R Edmonds · NPI 1851053185
Family organization in Cordova, Tennessee. Organization record, active in the CMS NPPES registry since October 13, 2021.
## Identity
- **NPI:** 1851053185 (Entity type: Organization)
- **Enumerated:** October 13, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Nikita Edmonds, OWNER
## Practice location
- **Address:** 1138 N GERMANTOWN PKWY # 101-102, Cordova, TN 38016-5872
- **Phone:** (901) 444-1083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Tennessee, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851053185) · Data from the CMS NPPES public registry.