EDWARD AVILES
NPI 1972199347
Nurse Practitioner - Psychiatric/Mental Health in Kansas City, MO

Active since December 18, 2020PECOS EnrolledAccepts Medicare Assignment
98.28/100
CMS Quality Rating
3100 NE 83RD ST STE 1001, KANSAS CITY, MO 64119(816) 468-0400 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Edward Aviles NPPES

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

EDWARD AVILES (NPI 1972199347) is an individual psychiatric/mental health provider in Kansas City, Missouri, licensed in Missouri (2020041689) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1972199347
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameEDWARD AVILES
Location Address3100 NE 83RD ST STE 1001Kansas City, MO 64119-4460
Mailing Address3100 Ne 83rd St Ste 1001Kansas City, MO 64119-4460
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 18, 2020
NPPES CertifiedDecember 18, 2020
✔ NPI 1972199347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MO · 2020041689
3100 NE 83RD ST STE 1001, Kansas City, MO 64119

Accepted Insurance

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

Edward Aviles 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 ID6800201591
PECOS Enrollment IDI20210210000608
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.

Medicare Billing Reassignment

Medicare enrollment records show Edward Aviles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
3100 NE 83RD ST, SUITE 1001
Kansas City, MO 64119
  • Reassigned Medicare billing, Missouri enrollment
  • 43 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.

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.
18 services12 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64119 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

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.

98.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.12
Promoting Interoperability97
Improvement Activities40
Cost100

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.

Social Worker
3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119
Social Worker
3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119
Social Worker
3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119
Social Worker (Clinical)
3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119
Counselor (Professional)
3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119
Social Worker
3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119
Social Worker (Clinical)
3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119
Counselor (Mental Health)
3100 NE 83RD ST STE 1001
KANSAS CITY, MO 64119

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 Edward Aviles's NPI number?

The NPI number for Edward Aviles is 1972199347. It was assigned to this individual provider in the NPPES registry on December 18, 2020.

Where is Edward Aviles located?

Edward Aviles practices at 3100 NE 83rd St Ste 1001, Kansas City, MO 64119. The listed phone number is (816) 468-0400.

What is Edward Aviles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Edward Aviles enrolled in Medicare?

Yes. Edward Aviles 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 organization bills Medicare for Edward Aviles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Aviles reassigns Medicare benefits to Tri-County Mental Health Services, Inc. (Kansas City, MO). 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 Edward Aviles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Aviles accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Edward Aviles 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.

When was this NPI record last updated?

The NPPES record for Edward Aviles was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.