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EDVINA SAMKELISO FUYANA
NPI 1972187482
Nurse Practitioner - Family in Irvine, CA

Active since May 11, 2021PECOS Enrolled
17981 SKY PARK CIR BLDG 39, IRVINE, CA 92614(877) 896-7350 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2022, May 11, 2021 (2 updates tracked since 2021).

About Edvina Samkeliso Fuyana NPPES

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

EDVINA SAMKELISO FUYANA (NPI 1972187482) is an individual family provider in Irvine, California, licensed in Georgia (213866) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972187482
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDVINA SAMKELISO FUYANA
Location Address17981 SKY PARK CIR BLDG 39Irvine, CA 92614-6309
Mailing Address17981 Sky Park Cir Bldg 39Irvine, CA 92614-6309 · (877) 896-7350
Phone(877) 896-7350
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 11, 2021
Last NPPES UpdateJanuary 12, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2022
✔ NPI 1972187482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 213866
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 95017106 (CA)
17981 SKY PARK CIR BLDG 39, Irvine, CA 92614
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edvina Samkeliso Fuyana is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426563594
PECOS Enrollment IDI20250716003571
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92614 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

JAZMINE ARELLANO NICDAO-LABILLES DNP, APRN, FNP-C
Nurse Practitioner (Family)
17981 SKY PARK CIR BLDG 39
IRVINE, CA 92614
Orange County (949) 797-6998
ADVANTMED PROVIDER NETWORK
General Practice
17981 SKY PARK CIR BLDG 39
IRVINE, CA 92614
Orange County (877) 896-7350

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 Edvina Fuyana's NPI number?

The NPI number for Edvina Fuyana is 1972187482. It was assigned to this individual provider in the NPPES registry on May 11, 2021.

Where is Edvina Fuyana located?

Edvina Fuyana practices at 17981 Sky Park Cir Bldg 39, Irvine, CA 92614. The listed phone number is (877) 896-7350.

What is Edvina Fuyana's specialty?

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

Is Edvina Fuyana enrolled in Medicare?

Yes. Edvina Fuyana is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edvina Fuyana was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.