Edith Claros, CNP
NPI 1063970234 · Psychiatric/Mental Health Nurse Practitioner · Worcester, MA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edith Claros, CNP is a Psychiatric/Mental Health Nurse Practitioner provider in Worcester, MA (NPI 1063970234).
Provider details
- NPI number
- 1063970234
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNP
- Sex
- Female
- Sole proprietor
- No
- License
- RN234283 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
119 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 64 | $55 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $86 |
Typical Medicare-allowed amounts for these services range $55–$86 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Clonazepam | 119 | 13 |
| Trazodone Hcl | 79 | 21 |
| Gabapentin | 63 | — |
| Escitalopram Oxalate | 62 | 15 |
| Sertraline Hcl | 54 | — |
| Duloxetine Hcl | 45 | — |
| Alprazolam | 44 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$100 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 29 Pine StSouthbridge, MA 01550-1823Phone: (508) 765-9167
Registry dates
- Enumerated
- 2019-03-06
- Last updated
- 2025-06-01
- Certified
- 2025-06-01
Frequently asked questions
- What is Edith Claros's NPI number?
- Edith Claros's National Provider Identifier (NPI) is 1063970234, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Edith Claros's specialty?
- Edith Claros is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Edith Claros located?
- Edith Claros's practice location on file with NPPES is 19 Tacoma St, Worcester, MA 01605-3516.
- What is Edith Claros's phone number?
- The practice phone number listed in the NPPES registry for Edith Claros is (508) 852-1805.
- Does Edith Claros accept Medicare?
- Edith Claros is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Edith Claros's NPI active?
- Yes — Edith Claros's NPI (1063970234) is active in the NPPES registry as of the last update on 2025-06-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.