Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Heather L. Edmondson, PA-C

Individual provider Physician Assistant · NPI 1457628471

Heather L. Edmondson, PA-C is a Physician Assistant in Johnson City, New York. Qualified in 2011, 15 years ago. Practices with United Health Services Hospitals, Inc, a 472-clinician group and accepts Medicare assignment. Licensed in Delaware and New York.

Years since qualifying
15
Licensed in
DE, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

30 Harrison St Ste 455
Johnson City, NY 13790-2176
Phone: (607) 763-8100
Fax: (607) 763-8048
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 015044 (NY)
Physician Assistant Taxonomy 363A00000X · Licence C5-0000781 (DE)

Record details

NPI number1457628471
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2011
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice United Health Services Hospitals, Inc. — 472 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City