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NICOLE LEE EDMONDS
NPI 1851093918
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Active since March 21, 2023PECOS Enrolled
1221 LEE STREET PRIMARY CARE CENTER 3RD FLOOR ROOM 3512, CHARLOTTESVILLE, VA 22908(434) 924-5115(434) 244-4504 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2025, Jun 20, 2024, Mar 21, 2023 (3 updates tracked since 2023).

About Nicole Lee Edmonds NPPES

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

NICOLE LEE EDMONDS (NPI 1851093918) is an individual student in an organized health care education/training program in Charlottesville, Virginia, licensed in Virginia (0116039007) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1851093918
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE LEE EDMONDS
Location Address1221 LEE STREET PRIMARY CARE CENTER 3RD FLOOR ROOM 3512Charlottesville, VA 22908-0816
Mailing Address1215 Lee St Box # 800718Charlottesville, VA 22908-0816 · (434) 924-5115 · Fax (434) 244-4504
Phone(434) 924-5115
Fax(434) 244-4504
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateMay 16, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1851093918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0116039007
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1221 LEE STREET PRIMARY CARE CENTER 3RD FLOOR ROOM 3512, Charlottesville, VA 22908
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Secondary Practice Location 1

Location 155 Fruit StBoston, MA 02114-2621 · Phone (617) 726-2000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Lee Edmonds 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.

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 Nicole Edmonds's NPI number?

The NPI number for Nicole Edmonds is 1851093918. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Nicole Edmonds located?

Nicole Edmonds practices at 1221 Lee Street Primary Care Center 3rd Floor Room 3512, Charlottesville, VA 22908. The listed phone number is (434) 924-5115.

What is Nicole Edmonds's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Edmonds enrolled in Medicare?

Yes. Nicole Edmonds is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Edmonds was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.