Joshua Alexander Edgerly, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

256182 Issued in AZ

Practice address

16601 N 40TH St Ste 216
Phoenix, AZ 85032-3354

Phone

(602) 767-7100

NPI assigned

Jan 23, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1548781487
  Medicare reassignment
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Yuma, AZ
  • NPI 1427554708
  NPD
• Easter Seals Blake Foundation

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1831062603
  NPD

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1528870979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323354",
            "telephone_number": "863-307-6667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16601 N 40TH ST STE 216",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323354",
            "telephone_number": "602-767-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERLY",
        "first_name": "JOSHUA",
        "middle_name": "ALEXANDER",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "256182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kynda Eden, BCBA
• Vivian Eden, RBT
• Jacob Eder, DMD
• Edge Medical Services
• Susan Edge
• Jose Edgington, MD
• Perry E Edinger, PA
• Leslie Diane Edison, DO
• Edith a. Yoder, Mssa PC
• Edmond L Baker Jr MD PC

• Psychiatric/Mental Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.