LUWELLA MARTINA EDMONDS PA
NPI 1932255155
Physician Assistant in New York, NY
About Luwella Martina Edmonds Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUWELLA MARTINA EDMONDS PA (NPI 1932255155) is an individual physician assistant in New York, New York, licensed in New York (012778) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Cortlandt Manor.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Luwella Martina Edmonds Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10019 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Luwella Edmonds's NPI number?
The NPI number for Luwella Edmonds is 1932255155. It was assigned to this individual provider in the NPPES registry on January 29, 2007.
Where is Luwella Edmonds located?
Luwella Edmonds practices at 1790 Broadway Ste 1802, New York, NY 10019. The listed phone number is (212) 530-0624.
What is Luwella Edmonds's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Luwella Edmonds enrolled in Medicare?
Yes. Luwella Edmonds is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Luwella Edmonds was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Luwella Martina Edmonds, PA · NPI 1932255155
Physician Assistant physician in New York, New York. Individual provider, active in the CMS NPPES registry since January 29, 2007.
## Identity
- **NPI:** 1932255155 (Entity type: Individual)
- **Enumerated:** January 29, 2007
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 012778 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1790 BROADWAY STE 1802, New York, NY 10019-1471
- **Phone:** (212) 530-0624
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1932255155) · Data from the CMS NPPES public registry.