ANDREA BETH EDGERLY FNP
NPI 1922506948
Nurse Practitioner in Coloma, MI

Active since January 24, 2018PECOS EnrolledAccepts Medicare Assignment
6701 PAW PAW AVE, COLOMA, MI 49038(269) 463-3600 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 8, 2023, Mar 11, 2021, Jan 29, 2019 and 2 more (5 updates tracked since 2018).

About Andrea Beth Edgerly Fnp NPPES

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

ANDREA BETH EDGERLY FNP (NPI 1922506948) is an individual nurse practitioner in Coloma, Michigan, licensed in Michigan (4704279479) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Lakeland Hospital, St Joseph, and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1922506948
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANDREA BETH EDGERLYCredential: FNP
Location Address6701 PAW PAW AVEColoma, MI 49038-9519
Mailing Address6701 Paw Paw AveColoma, MI 49038-9519
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 24, 2018
Last NPPES UpdateSeptember 8, 20235 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2023
NPI 1922506948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704279479
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 28240769A (IN), 71007815A (IN)
6701 PAW PAW AVE, Coloma, MI 49038

Secondary Practice Location 1

Location 1621 Memorial Dr Ste 402South Bend, IN 46601-1074 · Phone (574) 400-4550 · Fax (574) 400-4551

Other Identifiers 2

Medicaid300011718IN
Other178420026IN · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrea Beth Edgerly Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941561872
PECOS Enrollment IDI20230908001575
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230021
Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County
Emergency services Birthing friendly

Corewell Health Watervliet Hospital

Acute Care Hospitals · Watervliet, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230078
Location400 Medical Park DrWatervliet, MI 49098 · Berrien County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49038 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers18 claims18 services$26.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Family)
6701 PAW PAW AVE
COLOMA, MI 49038
Clinic/Center (Rural Health)
6701 PAW PAW AVE
COLOMA, MI 49038
Family Medicine
6701 PAW PAW AVE
COLOMA, MI 49038
Family Medicine
6701 PAW PAW AVE
COLOMA, MI 49038
Family Medicine
6701 PAW PAW AVE
COLOMA, MI 49038
Pediatrics
6701 PAW PAW AVE
COLOMA, MI 49038
Family Medicine
6701 PAW PAW AVE
COLOMA, MI 49038

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 Andrea Edgerly's NPI number?

The NPI number for Andrea Edgerly is 1922506948. It was assigned to this individual provider in the NPPES registry on January 24, 2018.

Where is Andrea Edgerly located?

Andrea Edgerly practices at 6701 Paw Paw Ave, Coloma, MI 49038. The listed phone number is (269) 463-3600.

What is Andrea Edgerly's specialty?

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

Is Andrea Edgerly enrolled in Medicare?

Yes. Andrea Edgerly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrea Edgerly accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Andrea Edgerly 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.

Is Andrea Edgerly affiliated with any hospitals?

According to CMS data, Andrea Edgerly is affiliated with Lakeland Hospital, St Joseph and Corewell Health Watervliet Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Edgerly was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.