Active NPI
Kim R Edson, NP
- Nurse Practitioner
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2135
- Practice address
- 1400 Bellinger St
Eau Claire, WI 54703-5222 - Phone
- (715) 838-5222
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 142707 | WI | |
| Nurse Practitioner | 363L00000X | 2135 | WI | Primary |
Addresses
Primary practice location
1400 Bellinger St
Eau Claire, WI 54703-5222
Mailing address
PO Box 1510
Eau Claire, WI 54702-1510
Phone (715) 838-5222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41198300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinic Springfield Communities
Practice addresses (Care Compare)
1040 W Washington St
MC Family Medicine Marshfield
Marshfield, MO 65706-2314
Phone (417) 859-2380
2120 W Kearney St
Mercy Convenient Care W Kearney
Springfield, MO 65803-1653
Phone (417) 869-6191
607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000
Hospital & facility affiliations
- Mercy Hospital Springfield
- Mercy Hospital Lebanon
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 142707 | WI | MD | Registered Nurse |
| 2135 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients |
Locations
3817 S Springfield Ave
Ste 140
Bolivar, MO 65613
Phone (417) 422-4769
118 W Dallas St
Buffalo, MO 65622
Phone (417) 345-6101
1040 W Washington St
Marshfield, MO 65706
Phone (417) 859-2380
1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
2120 W Kearney St
Springfield, MO 65803
Phone (417) 831-8074
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
363 E Old Route 66
Strafford, MO 65757
Phone (417) 736-9175
Interoperability endpoints
- kedson487826@directb.mercy.net
- kedson497486@directc.mercy.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Physical Therapist
- Springfield, MO
- NPI 1770628620
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lebanon, MO
- NPI 1447284898
-
- General Acute Care Hospital
- Rolla, MO
- NPI 1740413988
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369958400000",
"number": "1518985456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1510",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547021510",
"telephone_number": "715-838-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BELLINGER ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035222",
"telephone_number": "715-838-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDSON",
"first_name": "KIM",
"middle_name": "R",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2013-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "142707",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2135",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41198300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.