Individual provider Active NPI

Mary Lee Edwards, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1154624492
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3006711 Issued in KY
Practice address
989 Governors LN Ste 240
Lexington, KY 40513-1175
Phone
(859) 338-3958
Fax
(859) 368-8135
NPI assigned
Dec 8, 2010
Last updated
Jan 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3006711 KY Primary

Addresses

Primary practice location

989 Governors LN Ste 240
Lexington, KY 40513-1175

Mailing address

989 Governors LN Ste 240
Lexington, KY 40513-1175
Phone (859) 338-3958

Other identifiers 1

IdentifierTypeStateIssuer
7100176800MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110401000093 KY Practitioner - Nurse Practitioner 8224211008 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluegrass Extended Care Services LLCGroup PAC ID 4688832090, 7 clinicians

Practice addresses (Care Compare)

989 Governors LN
Suite 240
Lexington, KY 40513-1175
Phone (859) 338-3958

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3006711KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Bates Miller & Sims PLLC CurrentSince Dec 10, 2013 Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Family Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Oct 1, 2018 Accepting new patients
John K Garner MD PSC CurrentSince Mar 6, 2012 Accepting new patients
Commonwealth Medical Care, LLC PastSince Oct 21, 2023 Accepting new patients
Advanced Pain and Weight Loss Solutions PSC Past Accepting new patients

Locations

1856 Old Lebanon Rd
Campbellsvlle, KY 42718
Phone (270) 789-1022

464 Linden Ave
Harrodsburg, KY 40330
Phone (859) 734-5441

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

466 Linden Ave
#B
Harrodsburg, KY 40330
Phone (859) 734-5123

100 Jay St
Stanford, KY 40484
Phone (606) 365-1547

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1154624492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131175",
            "telephone_number": "859-338-3958",
            "fax_number": "859-368-8135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 GOVERNORS LN STE 240",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131175",
            "telephone_number": "859-338-3958",
            "fax_number": "859-368-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARY",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-08",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3006711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100176800",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.