MR. EDGARDO NIEVES M.S.
NPI 1922407907
Counselor - Mental Health in Philadelphia, PA
About Mr. Edgardo Nieves M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. EDGARDO NIEVES M.S. (NPI 1922407907) is an individual mental health provider in Philadelphia, Pennsylvania and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Edgardo Nieves M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edgardo Nieves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Pennsylvania enrollment
- 833 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.
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 Edgardo Nieves's NPI number?
The NPI number for Edgardo Nieves is 1922407907. It was assigned to this individual provider in the NPPES registry on August 15, 2014.
Where is Edgardo Nieves located?
Edgardo Nieves practices at 408 W Chelten Ave Apt 2R, Philadelphia, PA 19144. The listed phone number is (267) 974-3157.
What is Edgardo Nieves's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Edgardo Nieves enrolled in Medicare?
Yes. Edgardo Nieves is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edgardo Nieves's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Nieves reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Edgardo Nieves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edgardo Nieves was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Edgardo Nieves, M.S. · NPI 1922407907
Mental Health provider in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 15, 2014.
## Identity
- **NPI:** 1922407907 (Entity type: Individual)
- **Enumerated:** August 15, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 408 W CHELTEN AVE APT 2R, Philadelphia, PA 19144-4454
- **Phone:** (267) 974-3157
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** August 15, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1922407907) · Data from the CMS NPPES public registry.