Jayda Edgar

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5380296032 Issued in KS

Practice address

205 S Hanover St
Hanover, KS 66945-8924

Phone

(402) 768-6041

NPI assigned

Jan 30, 2020

Last updated

Jul 1, 2021By 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 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hanover HospitalGroup PAC ID 6709892078, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hanover Hospital Hospital, Hanover, KS, CCN 171365
• Community Memorial Healthcare, Inc. Hospital, Marysville, KS, CCN 171363
• Washington County Hospital Hospital, Washington, KS, CCN 171351
• Hanover Hospital Nursing home, CCN 17Z365

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16855/brand/1/csg/1/fhir/r4
• Direct secure messaging: jayda.edgar.1@16855.direct.athenahealth.com

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.

• Hanover Hospital

  • Critical Access Hospital
  • Hanover, KS
  • NPI 1285635425
  Medicare reassignment Care Compare group NPD
• Hanover Hospital

  dba Warren Clinic

  • Family Medicine Physician
  • Hanover, KS
  • NPI 1457843302
  Medicare reassignment

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

• Community Memorial Healthcare, Inc.

  • Critical Access Hospital
  • Marysville, KS
  • NPI 1902872997
  Care Compare affiliation
• Hanover Hospital

  • Critical Access Hospital
  • Hanover, KS
  • NPI 1285635425
  Care Compare affiliation
• Hanover Hospital

  • Critical Access Hospital
  • Hanover, KS
  • NPI 1841245529

  Nursing home

  Care Compare affiliation
• Washington County Hospital

  • Critical Access Hospital
  • Washington, KS
  • NPI 1962403584
  Care Compare affiliation

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1326679184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S HANOVER ST",
            "city": "HANOVER",
            "state": "KS",
            "postal_code": "669458924",
            "telephone_number": "402-768-6041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S HANOVER ST",
            "city": "HANOVER",
            "state": "KS",
            "postal_code": "669458924",
            "telephone_number": "402-768-6041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "JAYDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "5380296032",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "121929",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "75605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iveyonna Fiori Loran Black
• Lauren Bruna, OTS
• Lydia Easterberg
• Hanover Hospital
• Hanover Hospital
• Hanover Hospital (Warren Clinic)
• Hanover Hospital (Warren Clinic)
• Hanover Hospital

• Family Nurse Practitioner in Hanover, KS
• Providers in Hanover, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.