EDMUND JAMES FNP
NPI 1891170627
Nurse Practitioner - Family in Middletown, NY

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment
707 E MAIN ST, MIDDLETOWN, NY 10940(845) 333-7575(845) 333-1454 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 10, 2020, Oct 27, 2017 (2 updates tracked since 2017).

About Edmund James Fnp NPPES

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

EDMUND JAMES FNP (NPI 1891170627) is an individual family provider in Middletown, New York, licensed in New York (596392-1) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1891170627
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameEDMUND JAMESCredential: FNP
Location Address707 E MAIN STMiddletown, NY 10940-2650
Mailing Address707 E Main StMiddletown, NY 10940-2650 · (845) 333-7575 · Fax (845) 333-1454
Fax(845) 333-1454
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 22, 2015
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
NPI 1891170627 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 NY · 596392-1
707 E MAIN ST, Middletown, NY 10940

Secondary Practice Location 1

Location 175 Broad St, Suite 0815New York, NY 10004-2415 · Phone (877) 456-0369

Other Identifiers 1

Medicaid04271532NY

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

Edmund James Fnp 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 ID1951680412
PECOS Enrollment IDI20161128001538
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services47 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10940 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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 20

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

Surgery (Surgical Critical Care)
707 E MAIN ST
MIDDLETOWN, NY 10940
Internal Medicine (Pulmonary Disease)
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940
Dietitian, Registered
707 E MAIN ST
MIDDLETOWN, NY 10940
Physician Assistant (Medical)
707 E MAIN ST
MIDDLETOWN, NY 10940
Radiology (Radiation Oncology)
707 E MAIN ST
MIDDLETOWN, NY 10940
Student in an Organized Health Care Education/Training Program
707 E MAIN ST
MIDDLETOWN, NY 10940

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 Edmund James's NPI number?

The NPI number for Edmund James is 1891170627. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Where is Edmund James located?

Edmund James practices at 707 E Main St, Middletown, NY 10940. The listed phone number is (845) 333-7575.

What is Edmund James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Edmund James enrolled in Medicare?

Yes. Edmund James 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.

Is Edmund James affiliated with any hospitals?

According to CMS data, Edmund James is affiliated with Garnet Health Medical Center.

When was this NPI record last updated?

The NPPES record for Edmund James was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.