NPIMap

Individual provider Active NPI

Hollis Veronica Edwards, APRN

  • Adult Health Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1598010852
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
3007580 Issued in KY
Practice address
550 S Jackson St FL 1
Louisville, KY 40202
Phone
(502) 588-4521
Fax
(502) 588-9542
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 3007580 KY Primary

Addresses

Primary practice location

550 S Jackson St FL 1
Louisville, KY 40202

Mailing address

1904 Meadowgate LN
Louisville, KY 40223-1122
Phone (502) 298-7854

Other practice location 1

550 S Jackson St Fl 1
Louisville, KY 40202
Phone (502) 588-4521

Other identifiers 1

IdentifierTypeStateIssuer
7100211750MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000049 KY Practitioner - Nurse Practitioner 8426206889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Louisville Hip and Knee InstituteGroup PAC ID 3779990080, 18 clinicians

Practice addresses (Care Compare)

2400 Eastpoint Pkwy
Louisville, KY 40223-4154

3810 Springhurst Blvd
Suite 310
Louisville, KY 40241-6162
Phone (502) 447-5633

3900 Kresge Way
Louisville, KY 40207-4681

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3007580KYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2021 Accepting new patients
The Ortho NP, LLC Adult Health CurrentSince Feb 23, 2020 Accepting new patients
Louisville Hip and Knee Institute CurrentSince Oct 20, 2025 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 30, 2015 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

550 S Jackson St
Fl 1
Louisville, KY 40202
Phone (502) 552-6503

4001 Kresge Way
Ste 100
Louisville, KY 40207
Phone (502) 897-6579

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

3810 Springhurst Blvd
Ste 310
Louisville, KY 40241
Phone (502) 447-5633

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22070/brand/1/csg/1/fhir/r4
  • Direct secure messaging: hollis.edwards.1@22070.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1598010852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 MEADOWGATE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402231122",
            "telephone_number": "502-298-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S JACKSON ST FL 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "40202",
            "telephone_number": "502-588-4521",
            "fax_number": "502-588-9542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Jackson St Fl 1",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "40202",
            "country_code": "US",
            "telephone_number": "502-588-4521",
            "fax_number": "502-588-9542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "HOLLIS",
        "middle_name": "VERONICA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3007580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100211750",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.