Individual provider Active NPI

Jonathan Ralph Edgette, FNP-C

  • Nurse Practitioner
  • Davison, MI
National Provider Identifier
1306562764
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704253991 Issued in MI
Practice address
704 W Chelsea Cir
Davison, MI 48423-1262
Phone
(810) 691-9630
NPI assigned
Oct 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704253991 MI Primary

Addresses

Primary practice location

704 W Chelsea Cir
Davison, MI 48423-1262

Mailing address

PO Box 498
Davison, MI 48423-0498
Phone (810) 691-9630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20230110000585 MI Practitioner - Nurse Practitioner 3577933480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, shared by 10 NPIs, 336 clinicians
Cancer and Hematology Centers of Western Mi, P.C.Group PAC ID 4082526793, 109 clinicians

Practice addresses (Care Compare)

1 Hurley Plasa
9W Hurley Maternal Fetal Medicine
Flint, MI 48503-5902
Phone (810) 262-4787

1 Hurley Plaza
Attn Professional Billing Dept
Flint, MI 48503-5902

1 Hurley Plaza Attn Pro Billing Dept
Flint, MI 48503-5902

1 Hurley Plaza Ground N Clinic
Hurley Nurse Practitioner Group
Flint, MI 48503-5902
Phone (810) 262-9191

1 Hurley PLZ
Flint, MI 48503-5902

302 Kensington Ave
Flint, MI 48503-2044
Phone (810) 762-8400

Hospital & facility affiliations

  • Hurley Medical Center Hospital, Flint, MI, CCN 230132

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Coverage Services PC CurrentSince Jan 1, 2023 Accepting new patients
Hurley Medical Center Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Hurley Medical Center Current Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Hurley Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Hurley Medical Center Nurse Practitioner Current Accepting new patients
Hurley Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Hurley Medical Center Current Accepting new patients

Locations

102 N Adelaide St
Ste C
Fenton, MI 48430
Phone (810) 262-7030

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503
Phone (810) 235-2004

1140 S Linden Rd
Bldg A
Flint, MI 48532
Phone (810) 659-6719

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

1125 S Linden Rd
Ste 100
Flint, MI 48532
Phone (810) 262-6555

302 Kensington Ave
Flint, MI 48503
Phone (810) 762-8058

5494 S Dort Hwy
Grand Blanc, MI 48507
Phone (810) 233-9901

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

710 Kenmoor Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 588-7246

944 Baldwin Rd
Lapeer, MI 48446
Phone (248) 650-9100

Interoperability endpoints

  • Direct secure messaging: jedgette113234@direct.hurleymc.com

Organizations & group practices 9

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1306562764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 498",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484230498",
            "telephone_number": "810-691-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W CHELSEA CIR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484231262",
            "telephone_number": "810-691-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGETTE",
        "first_name": "JONATHAN",
        "middle_name": "RALPH",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704253991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davison, MI

Sources for this page

Verify at the official NPI Registry.