NANCY JEAN EDWARDS M.D.
NPI 1265687545
Internal Medicine - Critical Care Medicine in Houston, TX

NPI Status: Active since November 30, 2008

Contact Information

6400 FANNIN ST STE 2800
HOUSTON, TX
ZIP 77030
Phone: (713) 704-7100
Fax: (713) 704-7150

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  • Individual
  • Female
  • Years of Experience 19
  • Internal Medicine
  • Critical Care Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About NANCY EDWARDS

This page provides the complete NPI Profile along with additional information for Nancy Edwards, an internist established in Houston, Texas with a medical specialization in Internal Medicine, focusing in critical care medicine and more than 19 years of experience. She graduated from Duke University School Of Medicine in 2007. The healthcare provider is registered in the NPI registry with number 1265687545 assigned on November 2008. The practitioner's primary taxonomy code is 207RC0200X with license number P7761 (TX). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1265687545
Provider Name
NANCY JEAN EDWARDS M.D.
Gender
Female
Entity Type
Individual
Location Address
6400 FANNIN ST STE 2800 HOUSTON, TX 77030
Location Phone
(713) 704-7100
Location Fax
(713) 704-7150
Mailing Address
6400 FANNIN ST STE 2070 HOUSTON, TX 77030
Mailing Phone
(713) 704-6731
Mailing Fax
(713) 704-7150
Medical School Name
DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2007
Is Sole Proprietor?
No
Enumeration Date
11-30-2008
Last Update Date
12-17-2021
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An internist like Nancy Edwards is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Critical Care Medicine

Taxonomy Code
207RC0200X
Type
Allopathic & Osteopathic Physicians
License No.
P7761
License State
TX
Taxonomy Description
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

P7761 (TX)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) - HMO
  • Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
  • Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
  • Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00106WOTHER (01)TXMDCR GRP PTAN HARRIS CO
0035TDOTHER (01)TXBCBSTX GRP REC #
DB6392OTHER (01)TXRR MDCR GRP PTAN
153449704OTHER (01)TXMDCD GRP TPI HARRIS CO

Medicare Participation & PECOS Enrollment Status

Nancy Edwards is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Nancy Edwards is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3779760681

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110601000824

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.51 for a new patient copayment and $25.67 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77030 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.06
  • Minimum New Patient Price $58.24
  • Maximum New Patient Price $176.98
  • Average New Patient Copayment $33.51
  • Minimum New Patient Copayment $14.56
  • Maximum New Patient Copayment $44.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.71
  • Minimum Established Patient Price $18.6
  • Maximum Established Patient Price $143.93
  • Average Established Patient Copayment $25.67
  • Minimum Established Patient Copayment $4.65
  • Maximum Established Patient Copayment $35.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for NANCY JEAN EDWARDS M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1265687545
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221251281458
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 2 + 5 + 1 + 2 + 8 + 1 + 4 + 5 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1265687545 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407874217 KIM HERMAN PA
Individual
Physician Assistant (Medical)6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1881917698MS. PAMELA JEAN CAMPION PA
Individual
Physician Assistant6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1003041443 SHIRISH S SATPUTE MD
Individual
Psychiatry & Neurology (Neurology)6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1700256922 ANABELLE KEENE NP
Individual
Nurse Practitioner (Adult Health)6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 500-6128
1982685434 EDWARD J ESCOBAR DO
Individual
Psychiatry & Neurology (Neurology)6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1992258115MRS. MARIA ISABEL GONZALES MSN, NP
Individual
Nurse Practitioner6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1225577406MHS PHYSICIANS OF TEXAS
Organization
Registered Nurse (Neuroscience)6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 500-6128
1467699959 THERESA E. BOSANEK PA-C
Individual
Physician Assistant6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1003171158 MEGAN L FANKHAUSER MD
Individual
Psychiatry & Neurology (Neurology)6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1962922146 RYAN MICHAEL MCCORMACK MD, PHD
Individual
Student in an Organized Health Care Education/Training Program6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(731) 704-7100
1376040956 JOSEPH SCOTT WITHROW MD
Individual
Student in an Organized Health Care Education/Training Program6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1386141646 MEHMET CIHAN KADIPASAOGLU
Individual
Student in an Organized Health Care Education/Training Program6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7375
1699062596 DAVID MICHAEL PANCZYKOWSKI M.D.
Individual
Neurological Surgery6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7375
1306308853 DUNCAN TRIMBLE
Individual
Student in an Organized Health Care Education/Training Program6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1407317860 SHIVANI BINDAL
Individual
Student in an Organized Health Care Education/Training Program6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1730641663 LAURA ANN ZIMA
Individual
Student in an Organized Health Care Education/Training Program6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1306303615 ELVIRA LEKKA MD
Individual
Student in an Organized Health Care Education/Training Program6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 704-7100
1750592408DR. APARAJITHA KONDREDDI VERMA M.D
Individual
Psychiatry & Neurology (Sleep Medicine)6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 486-8000
1053331900 PENG ROC CHEN M.D.
Individual
Neurological Surgery6400 FANNIN ST STE 2800
HOUSTON, TX 77030
(713) 486-8000
1326109497 ARTHUR L DAY MD
Individual
Neurological Surgery6400 FANNIN ST STE 2800 MISCHER NEUROSCIENCE ASSOCIATES
HOUSTON, TX 77030
(713) 486-8000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265687545, enumerated in the NPI registry as an "individual" on November 30, 2008

The provider is located at 6400 Fannin St Ste 2800 Houston, Tx 77030 and the phone number is (713) 704-7100

The provider's speciality is Internal Medicine with taxonomy code 207RC0200X with a focus in Critical Care Medicine

The provider has more than 19 years of experience. She graduated from Duke University School Of Medicine in 2007.

The provider might be accepting Accepts: WellPoint, Medicare, Medicaid and Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $134.06 with an average copayment of $33.51 for new patient appointments. Established patients should expect a typical charge of $102.71 and an average copayment of 25.67. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on November 30, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.