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KELLIE EDWARDSEN AGACNP
NPI 1982248548
Nurse Practitioner - Acute Care in Dallas, TX

Active since November 06, 2019PECOS EnrolledAccepts Medicare Assignment
221 W COLORADO BLVD, DALLAS, TX 75208(214) 934-8424 Get Directions Write a Review

NPPES record last updated: November 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kellie Edwardsen Agacnp NPPES

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

KELLIE EDWARDSEN AGACNP (NPI 1982248548) is an individual acute care provider in Dallas, Texas, licensed in Texas (AP143845) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Medical City Dallas Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1982248548
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKELLIE EDWARDSENCredential: AGACNP
Location Address221 W COLORADO BLVDDallas, TX 75208-2363
Mailing Address6808 Southpoint DrDallas, TX 75248-2226
Phone(214) 934-8424
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 6, 2019
✔ NPI 1982248548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · AP143845
221 W COLORADO BLVD, Dallas, TX 75208
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Kellie Edwardsen Agacnp 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 ID4082041462
PECOS Enrollment IDI20200225000191
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Medical City Dallas Hospital

Acute Care Hospitals · Dallas, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450647
Location7777 Forest LaneDallas, TX 75230 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75208 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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 20

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

SYNERGY IMAGING, LLC
Clinic/Center (Radiology, Mobile)
221 W COLORADO BLVD, PAVILION I, SUITE 205
DALLAS, TX 75208
Dallas County (214) 942-5511
DARYL KEITH MOTSENBOCKER AG-ACNP
Nurse Practitioner (Acute Care)
221 W COLORADO BLVD, PAVILLION 2, SUITE 929
DALLAS, TX 75208
Dallas County (214) 960-5681
NEW BEGINNINGS SURGICAL GROUP, PA
Surgery
221 W COLORADO BLVD, PAV II STE#740
DALLAS, TX 75208
Dallas County (214) 948-0475
CLINICAL NEUROLOGICAL ASSOCIATES OF DALLAS, LLP
Neurological Surgery
221 W COLORADO BLVD, PAVILION 1 STE 155
DALLAS, TX 75208
Dallas County (214) 941-7724
CCST ASSOCIATES PLLC
Specialist
221 W COLORADO BLVD, SUITE 100
DALLAS, TX 75208
Dallas County (214) 943-8605
JOHN L JAY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
221 W COLORADO BLVD, SUITE 825
DALLAS, TX 75208
Dallas County (214) 942-5222
AMIT MANN MD
Internal Medicine (Pulmonary Disease)
221 W COLORADO BLVD, PAV II, SUITE 528
DALLAS, TX 75208
Dallas County (214) 960-5681
CENTER FOR CARDIOVASCULAR HEALTH PLLC
Clinic/Center (Medical Specialty)
221 W COLORADO BLVD, STE. 729
DALLAS, TX 75208
Dallas County (972) 587-3133

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 Kellie Edwardsen's NPI number?

The NPI number for Kellie Edwardsen is 1982248548. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Kellie Edwardsen located?

Kellie Edwardsen practices at 221 W Colorado Blvd, Dallas, TX 75208. The listed phone number is (214) 934-8424.

What is Kellie Edwardsen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kellie Edwardsen enrolled in Medicare?

Yes. Kellie Edwardsen 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 Kellie Edwardsen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kellie Edwardsen 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 Kellie Edwardsen affiliated with any hospitals?

According to CMS data, Kellie Edwardsen is affiliated with Medical City Dallas Hospital.

When was this NPI record last updated?

The NPPES record for Kellie Edwardsen was last updated on November 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.