Kisha Edwards, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71015530A Issued in IN

Practice address

5510 S East St Ste H
Indianapolis, IN 46227-1939

Phone

(317) 924-8425

Fax

(317) 924-8424

NPI assigned

Jul 23, 2024

Last updated

Jun 20, 2025By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates of Northern Indiana PCGroup PAC ID 8921033440, 64 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: kedwards75204@direct.acumenmd.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.

• Nephrology Associates of Northern Indiana, Inc

  • Nephrology Physician
  • Fort Wayne, IN
  • NPI 1578505814
  Medicare reassignment Care Compare group NPD
• Nephrology & Internal Medicine, Inc.

  dba Indiana Kidney Institute

  • Ambulatory Surgical Clinic/Center
  • Indianapolis, IN
  • NPI 1548785116
  Medicare reassignment NPD
• Care to Love Homecare

  • Health Service Clinic/Center
  • Carmel, IN
  • NPI 1104617042
  NPD Authorized official
• Home for Good Home Health

  • Home Health Agency
  • Carmel, IN
  • NPI 1538025358
  NPD Authorized official
• Nephrology & Internal Medicine, Inc.

  dba Indiana Kidney Institute

  • Nephrology Physician
  • Indianapolis, IN
  • NPI 1013943109
  NPD

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1366270266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 22ND ST",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231557",
            "telephone_number": "630-573-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 S EAST ST STE H",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271939",
            "telephone_number": "317-924-8425",
            "fax_number": "317-924-8424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3760 S Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Kokomo",
            "state": "IN",
            "postal_code": "469023829",
            "country_code": "US",
            "telephone_number": "317-924-8425",
            "fax_number": "317-924-8424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2480 N Meridian St",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462085732",
            "country_code": "US",
            "telephone_number": "179-248-4253",
            "fax_number": "317-924-8424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1542 S Bloomington St",
            "address_purpose": "LOCATION",
            "city": "Greencastle",
            "state": "IN",
            "postal_code": "461352212",
            "country_code": "US",
            "telephone_number": "317-924-8425",
            "fax_number": "317-924-8424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13648 Olivia Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Fishers",
            "state": "IN",
            "postal_code": "460377687",
            "country_code": "US",
            "telephone_number": "317-924-8425",
            "fax_number": "317-924-8424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2084 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "IN",
            "postal_code": "461511805",
            "country_code": "US",
            "telephone_number": "317-924-8425",
            "fax_number": "317-924-8424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13090 Petigru Dr",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "460324436",
            "country_code": "US",
            "telephone_number": "317-733-8608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6820 Parkdale Pl Ste 105",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462544699",
            "country_code": "US",
            "telephone_number": "317-924-8425",
            "fax_number": "317-924-8424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9670 E Washington St Ste 225",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462293061",
            "country_code": "US",
            "telephone_number": "317-924-8425",
            "fax_number": "317-924-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KISHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015530A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "address_1": "120 W 22nd St",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Randall Edwards, MD
• Kaitlyn Edwards, MD
• Kaleb Edwards
• Katelin Edwards, RBT
• Kellie Edwards
• Kyle R Edwards
• Lindsey Elizabeth Edwards
• Mara Edwards, WRAPAROUND
• Mark A Edwards, M.D.
• Mark L Edwards, MD

• Family Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.