Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Andrea Edgerly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Edgerly was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.

Active since January 24, 2018PECOS Enrolled

6701 PAW PAW AVE, COLOMA, MI 49038(269) 463-3600 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 24, 2026, Sep 8, 2023, Mar 11, 2021 and 3 more (6 updates tracked since 2018).

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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 family provider in Coloma, Michigan, licensed in Indiana (28240769A) 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 Taxonomy363LF0000X

Provider Legal NameANDREA BETH EDGERLYCredential: FNP

Location Address6701 PAW PAW AVEColoma, MI 49038-9519

Mailing Address6701 Paw Paw AveColoma, MI 49038-9519

Phone(269) 463-3600

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 24, 2018

Last NPPES UpdateSeptember 24, 20266 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2026

✔ NPI 1922506948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in IN · 28240769A✔ Licensed in MI · 4704279479✔ Licensed in IN · 71007815A

6701 PAW PAW AVE, Coloma, MI 49038

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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

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health.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 8

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

MICHELLE LYNN POWELL NP

Nurse Practitioner (Family)