Mr Wendy Phreud Edmond, AC-AGNP - Medicare Nurse Practitioner in Avon, IN

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Mr Wendy Phreud Edmond, AC-AGNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Avon, Indiana. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice North Brevard Medical Support Inc, Premier Critical Care Llc and his current practice location is 1111 Ronald Reagan Pkwy, Avon, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 217-2888.

Mr Wendy Phreud Edmond is licensed to practice in Indiana (license number 71013924A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013458561.

Contact Information

Mr Wendy Phreud Edmond, AC-AGNP
1111 Ronald Reagan Pkwy,
Avon, IN 46123-7085
(317) 217-2888
(317) 962-3916

Map and Direction




Provider's Profile

Full NameMr Wendy Phreud Edmond
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location1111 Ronald Reagan Pkwy, Avon, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Wendy Phreud Edmond graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1013458561
  • Provider Enumeration Date: 03/16/2017
  • Last Update Date: 01/04/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8224398110
  • Enrollment ID: I20180214002910

Medical Identifiers

Medical identifiers for Mr Wendy Phreud Edmond such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013458561NPI-NPPES
023103400MedicaidFL
OD206OtherFLMEDICARE HF
267030310OtherINMEDICARE PTAN
300076966MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology 71013924A (Indiana)Primary
363LA2100XNurse Practitioner - Acute Care 64577 (New Mexico)Secondary
363LA2100XNurse Practitioner - Acute Care APRN9336037 (Florida)Secondary
363LA2100XNurse Practitioner - Acute Care 73900 (Idaho)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Parrish Medical CenterTitusville, FLHospital
Physicians Regional Medical Center - Pine RidgeNaples, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Brevard Medical Support Inc761887029687
Premier Critical Care Llc670927502710

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Wendy Phreud Edmond allows following entities to bill medicare on his behalf.
Entity NameH Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306833595
PECOS PAC ID: 2264337021
Enrollment ID: O20031204000575
Entity NameNorth Brevard Medical Support Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609834886
PECOS PAC ID: 7618870296
Enrollment ID: O20040130000385
Entity NamePrager Simon & Associates Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467558817
PECOS PAC ID: 0143211920
Enrollment ID: O20040520000705
Entity NameIndian River Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710933031
PECOS PAC ID: 9234130329
Enrollment ID: O20070116000060
Entity NameHealth First Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750626495
PECOS PAC ID: 7416100672
Enrollment ID: O20130122000135
Entity NameSound Physicians Of Florida Iv, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740633635
PECOS PAC ID: 6002198082
Enrollment ID: O20170127000352
Entity NamePremier Critical Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669064192
PECOS PAC ID: 6709275027
Enrollment ID: O20211108001528

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Wendy Phreud Edmond is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Wendy Phreud Edmond, AC-AGNP
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: () -		Mr Wendy Phreud Edmond, AC-AGNP
1111 Ronald Reagan Pkwy,
Avon, IN 46123-7085

Ph: (317) 217-2888

Reviews and Comments


Nurse Practitioner Nurses in Avon, IN

Christi Lynn Crimmins, NP
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Megan Burton, PMHNP-BC
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Practice Location: 6845 E Us Highway 36 Ste 600, Avon, IN 46123
Phone: 317-272-4920    Fax: 317-272-4906
Victoria Neuses,
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Medicare: Medicare Enrolled
Practice Location: 6845 E Us Highway 36 Ste 500, Avon, IN 46123
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Sara Diann Ridlen, FNP-C
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Phone: 866-389-2727    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.