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ASHLEY M EDGAR NP
NPI 1952009573
Nurse Practitioner - Family in Houston, TX

Active since February 22, 2023PECOS EnrolledAccepts Medicare Assignment
6565 FANNIN ST STE 802, HOUSTON, TX 77030(713) 441-3952(713) 793-7019 Get Directions Write a Review

NPPES record last updated: July 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2024, Aug 23, 2023, Feb 22, 2023 (3 updates tracked since 2023).

About Ashley M Edgar Np NPPES

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

ASHLEY M EDGAR NP (NPI 1952009573) is an individual family provider in Houston, Texas, licensed in Texas (1130134) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1952009573
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHLEY M EDGARCredential: NP
Location Address6565 FANNIN ST STE 802Houston, TX 77030-2703
Mailing Address6565 Fannin St Ste 802Houston, TX 77030-2703 · (713) 441-3952 · Fax (713) 793-7019
Phone(713) 441-3952
Fax(713) 793-7019
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 22, 2023
Last NPPES UpdateJuly 14, 20243 updates tracked since enumeration
NPPES CertifiedJuly 14, 2024
✔ NPI 1952009573 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 TX · 1130134
6565 FANNIN ST STE 802, Houston, TX 77030
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Secondary Practice Location 1

Location 14191 Bellaire Blvd Ste 250Houston, TX 77025-1017 · Phone (281) 734-5304

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.Insurance ›

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

Ashley M Edgar Np 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 ID7416394036
PECOS Enrollment IDI20240319001376
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
15 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Houston Methodist Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450820
Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Ashley Edgar's NPI number?

The NPI number for Ashley Edgar is 1952009573. It was assigned to this individual provider in the NPPES registry on February 22, 2023.

Where is Ashley Edgar located?

Ashley Edgar practices at 6565 Fannin St Ste 802, Houston, TX 77030. The listed phone number is (713) 441-3952.

What is Ashley Edgar's specialty?

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

Is Ashley Edgar enrolled in Medicare?

Yes. Ashley Edgar 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.

What insurance does Ashley Edgar accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Ashley Edgar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ashley Edgar affiliated with any hospitals?

According to CMS data, Ashley Edgar is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital, Houston Methodist Clear Lake Hospital and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Ashley Edgar was last updated on July 14, 2024. 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.