Active NPI 1013494558 Individual Practitioner Female Practitioner

Theresa Kay Edwards , APRN-CNP

Nurse Practitioner - Gerontology • Sidney, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Theresa Edwards, APRN-CNP is a certified Nurse Practitioner - Gerontology practicing in Sidney, OH. With approximately 8 years of clinical experience since completing medical education in 2018, Theresa Edwards delivers high-quality medical care to the local community at 1205 FAIRINGTON DR.

Theresa Edwards is affiliated with Wilson Care, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1205 Fairington Dr

Sidney, OH 453658144

Telephone 9374928431

Fax 9374985126

Associated Practice Facility / Clinic

🏢 Primecare Physicians Of West Central Ohio, Inc Facility NPI 1609084375

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Sidney, OH

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs Matches City Avg

City Avg: 8.0 Yrs

State Avg: 7.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Sidney, OH (529 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edwards (8 Years) 8 Yrs

Sidney Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	331	178	$244.65	$72.94
36415 Insertion of needle into vein for collection of blood sample	104	85	$10.50	$8.65
83036 Hemoglobin A1C level	54	40	$27.30	$9.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	26	19	$184.80	$60.25
81002 Urinalysis, manual test	21	19	$10.50	$3.41
G0008 Administration of influenza virus vaccine	15	14	$65.10	$30.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	14	14	$351.75	$104.60
90662 Influenza vaccine split virus, preservative free	13	13	$128.15	$81.82
G0444 Annual depression screening, 5 to 15 minutes	11	11	$49.35	$14.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	430	222	$233.00	$72.89
36415 Insertion of needle into vein for collection of blood sample	65	60	$10.00	$8.28
83036 Hemoglobin A1C level	60	43	$26.00	$9.36
81002 Urinalysis, manual test	26	20	$10.00	$3.41
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	20	$176.00	$61.50
G0008 Administration of influenza virus vaccine	19	19	$62.00	$29.36
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$144.00	$75.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$335.00	$106.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	373	182	$220.23	$74.93
83036 Hemoglobin A1C level	42	32	$24.84	$9.36
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	34	25	$167.33	$56.51
81002 Urinalysis, manual test	32	24	$8.72	$3.44
G0008 Administration of influenza virus vaccine	19	18	$59.00	$26.54
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	16	16	$138.13	$65.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$136.05	$46.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	335	175	$193.00	$75.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	33	$116.00	$46.21
83036 Hemoglobin A1C level	34	24	$36.00	$9.14
81002 Urinalysis, manual test	31	24	$9.00	$3.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$279.00	$107.53
G0008 Administration of influenza virus vaccine	20	19	$59.00	$16.17
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	18	12	$180.00	$57.09
36415 Insertion of needle into vein for collection of blood sample	16	16	$9.00	$3.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	222	148	$182.84	$61.36
81002 Urinalysis, manual test	20	18	$8.00	$3.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	16	15	$171.00	$58.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$110.00	$35.06
83036 Hemoglobin A1C level	13	12	$34.00	$9.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	348	218	$75.00	$56.62
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	152	85	$75.00	$56.10
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	87	75	$55.00	$36.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	63	53	$94.00	$75.99
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	38	34	$55.00	$36.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	14	$94.00	$76.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	140	83	$94.00	$75.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	46	$75.00	$57.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	58	43	$94.00	$75.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	56	46	$55.00	$36.82
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	24	19	$75.00	$57.23
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	16	16	$55.00	$36.82

Medical Specialties & State Licenses

CMS Verified: 2020-12-01

Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License OH APRN.CNP.022941

Definition to come...

Registered Nurse - General Practice

NUCC Taxonomy Code: 163WG0000X

State License OH RN301671

Definition to come...

Hospital & Practice Group Affiliations

Wilson Care, Llc

1205 Fairington Dr, Sidney, OH 453658144

Phone: 93749284310000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Dr. Stephen Justice , MD

Family Medicine

NPI 1023014966

Doctor of Medicine (M.D.)

Eric Vanfossen , PA-C

Physician Assistant - Medical

NPI 1083754287

Physician Assistant (Certified)

Dr. Kenneth Bosslet , DO

Family Medicine

NPI 1831195767

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location December 01, 2020

Registered at 1205 FAIRINGTON DR, SIDNEY, OH 453658144 (Tel: 9374928431)

📍

Updated Business Mailing Address December 01, 2020

Registered at 1205 FAIRINGTON DR, SIDNEY, OH 453658144 (Tel: 9374928431)

👤

Provider Name / Credentials Updated December 01, 2020

Recorded as THERESA EDWARDS, APRN-CNP

✅

NPI Profile Active August 07, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2018

Registered at 8701 OLD TROY PIKE STE 20, HUBER HEIGHTS, OH 45424 (Tel: 9372337146)

📍

Updated Business Mailing Address August 07, 2018

Registered at 473 W 12TH AVE STE 105, COLUMBUS, OH 432101252 (Tel: 6142921037)

👤

Provider Name / Credentials Updated August 07, 2018

Recorded as THERESA EDWARDS, NP-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2018

Registered Nurse (License #RN301671 in OH)

🟢

Initial NPI Registration & Enumeration July 27, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013494558

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 27, 2018

Last Update: December 01, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1205 Fairington Dr

Sidney, OH 453658144

Phone: 9374928431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.