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Active NPI 1922506948 Individual Practitioner Female Practitioner

Andrea Beth Edgerly , FNP

Nurse Practitioner • Coloma, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Andrea Edgerly, FNP is a certified Nurse Practitioner practicing in Coloma, MI. With approximately 9 years of clinical experience since completing medical education in 2017, Andrea Edgerly delivers high-quality medical care to the local community at 6701 PAW PAW AVE.

Andrea Edgerly is affiliated with Lakeland Community Hospital Watervliet and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6701 Paw Paw Ave

Coloma, MI 490389519

Telephone 2694633600
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Coloma, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs Matches City Avg
City Avg: 9.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Coloma, MI (3626 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Edgerly (9 Years) 9 Yrs
Coloma Specialty Average (9.0 Years) 9.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
18 14 $22.00 $9.52

Medical Specialties & State Licenses

CMS Verified: 2023-09-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704279479

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IN 28240769A

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License IN 71007815A

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
300011718 (IN)
Commercial Insurance / Payer ID Medicare Ptan
178420026 (IN)

Hospital & Practice Group Affiliations

Lakeland Community Hospital Watervliet

525 S Ctr St, Hartford, MI 490571362

Phone: 2694633600

Lakeland Community Hospital Watervliet

6701 Paw Paw Ave, Coloma, MI 490389519

Phone: 2694633600

Secondary Practice Locations

621 Memorial Dr Ste 402

South Bend, IN 466011074

Phone: 5744004550

Practice Associates & Co-Workers

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

23 Associated Practitioners
Megan Samples

Clinical Neuropsychologist

NPI 1043612724
Dr. Erika Nearpass , DO

Internal Medicine

NPI 1053725267

Doctor of Osteopathic Medicine (D.O.)

Michelle Powell , NP

Nurse Practitioner - Family

NPI 1073269445

Nurse Practitioner

Rachel Albertin , PA-C

Physician Assistant

NPI 1104597665

Physician Assistant (Certified)

Ann Tapper , FNP-C

Nurse Practitioner

NPI 1144992983

Family Nurse Practitioner (Certified)

Dr. Jeffrey Postma , DO

Orthopaedic Surgery

NPI 1154340693

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

17 Historical Events
📍
Updated Practice Location September 08, 2023

Registered at 6701 PAW PAW AVE, COLOMA, MI 490389519 (Tel: 2694633600)

📍
Updated Business Mailing Address September 08, 2023

Registered at 6701 PAW PAW AVE, COLOMA, MI 490389519

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2023

Nurse Practitioner (License #28240769A in IN)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2021

Nurse Practitioner (License #71007815A in IN)

📍
Updated Business Mailing Address January 29, 2019

Registered at 2401 VALLEY DR, VALPARAISO, IN 463832520 (Tel: 2194135100)

📍
Updated Business Mailing Address March 15, 2018

Registered at 710 N NILES AVE, SOUTH BEND, IN 466171924 (Tel: 5746471610)

NPI Profile Active March 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 07, 2018

Registered at 621 MEMORIAL DR STE 402, SOUTH BEND, IN 466011074 (Tel: 5746472500)

📍
Updated Business Mailing Address March 07, 2018

Registered at 710 N NILES AVE, SOUTH BEND, IN 466171924 (Tel: 5746471610)

👤
Provider Name / Credentials Updated March 07, 2018

Recorded as ANDREA EDGERLY, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2018

Nurse Practitioner (License #28240769A in IN)

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 24, 2018

Registered at 621 MEMORIAL DR STE 402, SOUTH BEND, IN 466011074 (Tel: 5746472500)

📍
Updated Business Mailing Address January 24, 2018

Registered at 621 MEMORIAL DR STE 402, SOUTH BEND, IN 466011074

👤
Provider Name / Credentials Updated January 24, 2018

Recorded as ANDREA EDGERLY, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Nurse Practitioner (License #28240769A in IN)

🟢
Initial NPI Registration & Enumeration January 24, 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: 1922506948
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2018
Last Update: September 08, 2023
Sole Proprietor: No

Mailing Address

6701 Paw Paw Ave

Coloma, MI 490389519

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.