Individual provider Active NPI

Sasha Edwards, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Douglass, KS
National Provider Identifier
1093477705
Registry record updated Oct 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
53-80518-061 Issued in KS
Practice address
22822 SW County Line Rd
Douglass, KS 67039-8307
Phone
(316) 323-8791
NPI assigned
Oct 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 53-80518-061 KS Primary

Addresses

Primary practice location

22822 SW County Line Rd
Douglass, KS 67039-8307

Mailing address

22822 SW County Line Rd
Douglass, KS 67039-8307
Phone (316) 323-8791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220106002316 KS Practitioner - Nurse Practitioner 0648661397 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vigilias LLCGroup PAC ID 9133433279, 49 clinicians
Greeley County Health Services IncGroup PAC ID 0042233496, shared by 5 NPIs, 26 clinicians

Practice addresses (Care Compare)

425 N Belmont Ave
Wichita, KS 67208-3810
Phone 3165007549700

PO Box
Suite 640
Tribune, KS 67879-0640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
53-80518-061KSMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group KS, P.a. Single Specialty CurrentSince Jul 1, 2025 Accepting new patients
Vigilias LLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients

Locations

4704 E Oakland
Wichita, KS 67218

801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633824000000",
    "number": "1093477705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22822 SW COUNTY LINE RD",
            "city": "DOUGLASS",
            "state": "KS",
            "postal_code": "670398307",
            "telephone_number": "316-323-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22822 SW COUNTY LINE RD",
            "city": "DOUGLASS",
            "state": "KS",
            "postal_code": "670398307",
            "telephone_number": "316-323-8791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "SASHA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "53-80518-061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglass, KS

Sources for this page

Verify at the official NPI Registry.