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RONDA EDGLEY NP
NPI 1902456262
Nurse Practitioner in Pocatello, ID

Active since September 18, 2019PECOS Enrolled
415 N 3RD AVE STE B, POCATELLO, ID 83201(208) 646-4165(208) 646-4195 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ronda Edgley Np NPPES

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

RONDA EDGLEY NP (NPI 1902456262) is an individual nurse practitioner in Pocatello, Idaho, licensed in Idaho (CNP62704) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902456262
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRONDA EDGLEYCredential: NP
Location Address415 N 3RD AVE STE BPocatello, ID 83201-6306
Mailing Address415 N 3rd Ave Ste BPocatello, ID 83201-6306 · (208) 646-4165 · Fax (208) 646-4195
Phone(208) 646-4165
Fax(208) 646-4195
Sole ProprietorNo
Enumeration DateSeptember 18, 2019
Last NPPES UpdateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1902456262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in ID · CNP62704
Definition
(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.
415 N 3RD AVE STE B, Pocatello, ID 83201
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ronda Edgley Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Ronda Edgley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nobility Behavioral Health LLC
Same address
Psychiatric/Mental Health
415 N 3RD AVE STE B
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 5 clinicians in this Medicare group
NPI 1720722549 (208) 646-4165
Healthy Horizons Healthcare PC
1.8 mi
Family
333 W CEDAR ST
Pocatello, ID 83201
  • Reassigned Medicare billing, Idaho enrollment
  • 2 clinicians in this Medicare group
NPI 1366254047 (208) 251-3701

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

ANGELA ALLEN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
415 N 3RD AVE STE B
POCATELLO, ID 83201
Bannock County (208) 646-4165
NOBILITY BEHAVIORAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
415 N 3RD AVE STE B
POCATELLO, ID 83201
Bannock County (208) 646-4165
LEVI GRAVES
Nurse Practitioner (Psychiatric/Mental Health)
415 N 3RD AVE STE B
POCATELLO, ID 83201
Bannock County (208) 646-4165

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 Ronda Edgley's NPI number?

The NPI number for Ronda Edgley is 1902456262. It was assigned to this individual provider in the NPPES registry on September 18, 2019.

Where is Ronda Edgley located?

Ronda Edgley practices at 415 N 3rd Ave Ste B, Pocatello, ID 83201. The listed phone number is (208) 646-4165.

What is Ronda Edgley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ronda Edgley enrolled in Medicare?

Yes. Ronda Edgley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ronda Edgley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronda Edgley reassigns Medicare benefits to 2 organizations: Nobility Behavioral Health LLC (Pocatello, ID) and Healthy Horizons Healthcare PC (Pocatello, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronda Edgley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronda Edgley accept?

Health plans from Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Select Health list Ronda Edgley 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 Ronda Edgley was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.