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Deactivated NPI 1003062829 Deactivated / Inactive NPI Female Practitioner

Edwish Marie Adrien , PA

Physician Assistant • Forest Hills, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edwish Adrien has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2008
NPI Deactivation Date June 10, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Edwish Adrien, PA was a registered Physician Assistant practicing in Forest Hills, NY. Throughout an active medical career spanning 13 years, Edwish Adrien provided care at the practice location at 10229 QUEENS BLVD until profile deactivation on 2021-06-10.

Historical Medicare Part B clinical services included established patient outpatient office visit, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

10229 Queens Blvd
Attn: Credentialing

Forest Hills, NY 113753258

Telephone 5036665050
Associated Practice Facility / Clinic
🏢 Urgent Care Nw Gresham Pc Facility NPI 1336128321

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Forest Hills, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
70 Specialists

Practicing in Forest Hills, NY (15701 Statewide)

Telehealth Adoption Rate
5.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
35 34 $395.76 $106.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $369.57 $109.73

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 012551

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Mark Hosko , MD

General Practice

NPI 1043233570

Doctor of Medicine (M.D.)

Sommer Verley , FNP-C

Nurse Practitioner

NPI 1043617608

Family Nurse Practitioner (Certified)

Dyea Summers , PA-C

Physician Assistant - Medical

NPI 1073744769

Physician Assistant (Certified)

NPI 1154722692

PACERTIFIED

Theresa Jones , PA-C

Physician Assistant

NPI 1154872638

Physician Assistant (Certified)

Bryhanna Mccully , PA-C

Physician Assistant

NPI 1154919561

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 10, 2021

Record deactivated on June 10, 2021

NPI Profile Active May 15, 2015

NPI status registered as active in NPPES database

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Updated Practice Location May 15, 2015

Registered at 10229 QUEENS BLVD, ATTN: CREDENTIALING, FOREST HILLS, NY 113753258 (Tel: 5036665050)

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Updated Business Mailing Address May 15, 2015

Registered at PO BOX 647, ATTN: CREDENTIALING, GRESHAM, OR 970300167 (Tel: 5036665050)

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Provider Name / Credentials Updated May 15, 2015

Recorded as EDWISH ADRIEN, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2015

Physician Assistant (License #012551 in NY)

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Initial NPI Registration & Enumeration August 12, 2008

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: 1003062829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2008
Last Update: May 15, 2015
Deactivation Date: June 10, 2021

Mailing Address

Po Box 647, Attn: Credentialing

Gresham, OR 970300167

Phone: 5036665050

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.