EDMUND JAMES FNP
NPI 1891170627
Nurse Practitioner - Family in Middletown, NY
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Edmund James reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
- 226 clinicians in this Medicare group
Bronx, NY 10451
- Reassigned Medicare billing, New York enrollment
- 971 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYPhysician 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.
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.
MIDDLETOWN, NY 10940
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.
Which organizations bill Medicare for Edmund James's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edmund James reassigns Medicare benefits to 2 organizations: Garnet Health Doctors PC (Middletown, NY) and Downtown Bronx Medical Associates PC (Bronx, NY). Each 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 Edmund James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Edmund James, FNP · NPI 1891170627
Family physician in Middletown, New York. Individual provider, active in the CMS NPPES registry since July 22, 2015.
## Identity
- **NPI:** 1891170627 (Entity type: Individual)
- **Enumerated:** July 22, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 596392-1 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 707 E MAIN ST, Middletown, NY 10940-2650
- **Phone:** (845) 333-7575 · **Fax:** (845) 333-1454
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Garnet Health Doctors PC (NPI 1093138851, Middletown, NY); Downtown Bronx Medical Associates PC (NPI 1689618407, Bronx, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** November 27, 2023
- **Other identifiers:** Medicaid 04271532 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1891170627) · Data from the CMS NPPES public registry.