Kaeai Edgerly, NP-C, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN002623 Issued in NV

Practice address

55 Damonte Ranch Pkwy
Reno, NV 89521-2996

Phone

(845) 249-5500

NPI assigned

Sep 15, 2017

Last updated

Jul 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaeai Carlson Former name

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CTH Physicians ClinicGroup PAC ID 1254787203, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carson Tahoe Regional Medical Center Hospital, Carson City, NV, CCN 290019

Merit-based Incentive Payment System (MIPS)

Final score

79.58 of 100Reported as group

Quality

71.81

Improvement activities

40

Cost

83.62

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• CTH Physicians Clinic

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1306533732
  Medicare reassignment Care Compare group
• Santibanez Pac Nevada

  • Geriatric Medicine (Internal Medicine) Physician
  • Carson City, NV
  • NPI 1174398770
  Medicare reassignment NPD

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

• Carson Tahoe Regional Healthcare

  • General Acute Care Hospital
  • Carson City, NV
  • NPI 1255360160
  Care Compare affiliation
• Carson Tahoe Regional Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Carson City, NV
  • NPI 1568281988

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562630400000",
    "number": "1124547666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DAMONTE RANCH PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212996",
            "telephone_number": "845-249-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DAMONTE RANCH PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212996",
            "telephone_number": "845-249-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18653 Wedge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895113323",
            "country_code": "US",
            "telephone_number": "775-770-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGERLY",
        "first_name": "KAEAI",
        "credential": "NP-C, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2019-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAEAI",
            "last_name": "CARLSON",
            "credential": "NP-C, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candace Kimberly Eddy, M.S.W., LCSW
• Eden Hospice at Carson City, LLC (Eden Hospice)
• Edge Medical LLC
• Edge Medical Services
• Sarah Micayla Henderson Edge, APRN-FNP
• Ann Edgington, LCSW
• Haley Edgington
• Leta Kay Edgington
• Michon M Edgington, APRN
• Stacey Edgington, M.S.

• Family Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.