KELLY ANN EDWARDS RNP
NPI 1528874724
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since December 04, 2024Opted out of Medicare · through Mar 19, 2028
2375 E CAMELBACK RD STE 600, PHOENIX, AZ 85016(602) 639-0571 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 27, 2025, Mar 6, 2025, Feb 21, 2025 and 1 more (4 updates tracked since 2024).

About Kelly Ann Edwards Rnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY ANN EDWARDS RNP (NPI 1528874724) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (317111) and active in the NPI registry since December 2024. She has opted out of Medicare through March 19, 2028 and maintains a secondary practice location in Tempe.

NPPES Registry Identity

NPI1528874724
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLY ANN EDWARDSCredential: RNP
Location Address2375 E CAMELBACK RD STE 600Phoenix, AZ 85016-3493
Mailing Address401 W Baseline Rd Ste 105aTempe, AZ 85283-5349
Sole ProprietorNo
Enumeration DateDecember 4, 2024
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
NPI 1528874724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AZ · 317111
2375 E CAMELBACK RD STE 600, Phoenix, AZ 85016

Other Names 1

Former Name (1)Kelly Ann Jackson

Secondary Practice Location 1

Location 1401 W Baseline Rd Ste 105ATempe, AZ 85283-5349 · Phone (602) 738-0556

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Kelly Ann Edwards Rnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 19, 2026 through March 19, 2028.

Opt-Out Effective DateMarch 19, 2026
Opt-Out In Effect ThroughMarch 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016
Dietitian, Registered
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016
Dietitian, Registered
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016
Nurse Practitioner
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016
Dietitian, Registered
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016
Internal Medicine (Infectious Disease)
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016
Nurse Practitioner (Psychiatric/Mental Health)
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016
Home Health
2375 E CAMELBACK RD STE 600
PHOENIX, AZ 85016

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Edwards's NPI number?

The NPI number for Kelly Edwards is 1528874724. It was assigned to this individual provider in the NPPES registry on December 4, 2024. The provider is also known as Kelly Ann Jackson.

Where is Kelly Edwards located?

Kelly Edwards practices at 2375 E Camelback Rd Ste 600, Phoenix, AZ 85016. The listed phone number is (602) 639-0571.

What is Kelly Edwards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kelly Edwards enrolled in Medicare?

No. Kelly Edwards has opted out of Medicare through March 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Kelly Edwards accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Kelly Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Edwards was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.