Marissa Nicole Edwards, CPNP-PC - Medicare Nurse Practitioner in Syracuse, NY

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Marissa Nicole Edwards, CPNP-PC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Syracuse, New York. Her current practice location is Upstate Health Care Center Suite 1055, 90 Presidential Plaza, Syracuse, New York. You can reach out to her office (for appointments etc.) via phone at (315) 464-6395.

Marissa Nicole Edwards is licensed to practice in New York (license number 383174) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811593775.

Contact Information

Marissa Nicole Edwards, CPNP-PC
Upstate Health Care Center Suite 1055, 90 Presidential Plaza,
Syracuse, NY 13202-1320
(315) 464-6395
Not Available

Map and Direction




Provider's Profile

Full NameMarissa Nicole Edwards
GenderFemale
SpecialityNurse Practitioner - Pediatrics
LocationUpstate Health Care Center Suite 1055, Syracuse, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811593775
  • Provider Enumeration Date: 12/07/2020
  • Last Update Date: 01/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274947650
  • Enrollment ID: I20210126001363

Medical Identifiers

Medical identifiers for Marissa Nicole Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811593775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics F383174-01 (New York)Secondary
363LP0200XNurse Practitioner - Pediatrics 383174 (New York)Primary

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. Marissa Nicole Edwards allows following entities to bill medicare on her behalf.
Entity NamePediatric Service Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770539066
PECOS PAC ID: 9931007200
Enrollment ID: O20031223000483

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. Marissa Nicole Edwards 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
Marissa Nicole Edwards, CPNP-PC
251 Salina Meadows Pkwy, Ste 100,
Syracuse, NY 13212-4516

Ph: (315) 464-2000		Marissa Nicole Edwards, CPNP-PC
Upstate Health Care Center Suite 1055, 90 Presidential Plaza,
Syracuse, NY 13202-1320

Ph: (315) 464-6395

Reviews and Comments


Nurse Practitioner Nurses in Syracuse, NY

Janice M Agen, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 90 Presidential Plz, 3rd Floor, Syracuse, NY 13202
Phone: 315-464-5210    Fax: 315-464-2141
Irene S Borja, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7111    
Mrs. Yingzi Wang, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 750 East Adams St, Syracuse, NY 13210
Phone: 315-464-1800    Fax: 315-464-6238
Michele Rene Mcdonald, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Irving Ave, Syracuse, NY 13210
Phone: 315-425-4400    
Nicole Marie Voudren, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 750 E Adams St, Syracuse, NY 13210
Phone: 315-254-6914    Fax: 315-464-8524
Mary Jean Thomas, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 736 Irving Ave, Syracuse, NY 13210
Phone: 315-470-7111    
Frances I Swiecki, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 90 Presidential Plz, 5th Floor, Syracuse, NY 13202
Phone: 315-464-9335    Fax: 315-464-9338

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.