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JEAN A EDMONDSON NP
NPI 1992742753
Nurse Practitioner - Family in Saint Clair Shores, MI

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
23829 LITTLE MACK AVE, SUITE 100, SAINT CLAIR SHORES, MI 48080(586) 773-1300(586) 773-1600 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jean A Edmondson Np NPPES

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

JEAN A EDMONDSON NP (NPI 1992742753) is an individual family provider in Saint Clair Shores, Michigan, licensed in Michigan (4704215622) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and maintains a secondary practice location in Clinton Township.

NPPES Registry Identity

NPI1992742753
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEAN A EDMONDSONCredential: NP
Location Address23829 LITTLE MACK AVE, SUITE 100Saint Clair Shores, MI 48080-1186
Mailing Address23829 Little Mack Ave, Suite 100Saint Clair Shores, MI 48080-1186 · (586) 773-1300 · Fax (586) 773-1600
Phone(586) 773-1300
Fax(586) 773-1600
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 1, 2006
Last NPPES UpdateNovember 8, 2021
NPPES CertifiedNovember 8, 2021
✔ NPI 1992742753 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 MI · 4704215622
Also ListedNurse PractitionerTaxonomy 363L00000X · License JE215622 (MI), 4704215622 (MI)
23829 LITTLE MACK AVE, Saint Clair Shores, MI 48080
Open in Google Maps ↗

Secondary Practice Location 1

Location 115855 19 Mile RdClinton Township, MI 48038-3504 · Phone (586) 263-2300

Other Identifiers 2

Medicaid4761826MI
Other5008605420MI · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Jean A Edmondson 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 ID8921032368
PECOS Enrollment IDI20050924000067
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 Reassignments

2

Medicare enrollment records show Jean Edmondson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Clair Orthopaedics And Sports Medicine PC
Same address
Orthopaedic Surgery
23829 LITTLE MACK AVE STE 100
Saint Clair Shores, MI 48080
  • Reassigned Medicare billing, Michigan enrollment
  • 27 clinicians in this Medicare group
NPI 1720041288 (586) 773-1300
Henry Ford Macomb Hospital Corporation
10 mi
Neonatal
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 215 clinicians in this Medicare group
NPI 1912301094 (586) 263-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 5

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

Lake Huron Medical Center

Acute Care Hospitals · Port Huron, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230031
Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County
Emergency services

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Mclaren Port Huron

Acute Care Hospitals · Port Huron, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230216
Location1221 Pine Grove AvePort Huron, MI 48060 · St. Clair County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 14

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

DR. CHRISTOPHER N ZINGAS MD
Orthopaedic Surgery (Foot and Ankle Surgery)
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 773-1300
LINDA MCPARLAN NP
Nurse Practitioner
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 773-1300
COURTNEY SAUTER OTRL
Occupational Therapist (Hand)
23829 LITTLE MACK AVE
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 773-1300
DR. NICHOLAS J SCHOCH MD
Orthopaedic Surgery
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 773-1300
WRIGHT & FILIPPIS, INC.
Durable Medical Equipment & Medical Supplies
23829 LITTLE MACK AVE, SUITE 400
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-5409
MR. DAMON O COLLIER P.T.
Physical Therapist
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 416-4281
DR. RICHARD T PERRY MD
Orthopaedic Surgery (Sports Medicine)
23829 LITTLE MACK AVE, SUITE 100
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 773-1300
WRIGHT & FILIPPIS, INC.
Prosthetic/Orthotic Supplier
23829 LITTLE MACK AVE, SUITE 400
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 777-5409

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 Jean Edmondson's NPI number?

The NPI number for Jean Edmondson is 1992742753. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Jean Edmondson located?

Jean Edmondson practices at 23829 Little Mack Ave Suite 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 773-1300.

What is Jean Edmondson's specialty?

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

Is Jean Edmondson enrolled in Medicare?

Yes. Jean Edmondson 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 organizations bill Medicare for Jean Edmondson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean Edmondson reassigns Medicare benefits to 2 organizations: St Clair Orthopaedics And Sports Medicine PC (Saint Clair Shores, MI) and Henry Ford Macomb Hospital Corporation (Clinton Township, MI). Each 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 Jean Edmondson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jean Edmondson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Jean Edmondson 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 Jean Edmondson affiliated with any hospitals?

According to CMS data, Jean Edmondson is affiliated with Lake Huron Medical Center, Henry Ford Macomb Hospital, Beaumont Hospital - Grosse Pointe, Mclaren Port Huron and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Jean Edmondson was last updated on November 8, 2021. 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.