Individual provider Active NPI

Michelle Edgmon, FNP-BC

  • Family Nurse Practitioner
  • Saint Clairsville, OH
National Provider Identifier
1609147883
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.025713 Issued in OH
Practice address
51342 National Rd Ste J
Saint Clairsville, OH 43950-1700
Phone
(740) 232-2180
Fax
(740) 232-2182
NPI assigned
Jan 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.025713 OH Primary

Addresses

Primary practice location

51342 National Rd Ste J
Saint Clairsville, OH 43950-1700

Mailing address

51342 National Rd Ste J
Saint Clairsville, OH 43950-1700
Phone (740) 232-2180

Other identifiers 2

IdentifierTypeStateIssuer
P01213515OtherRAILROAD MEDICARE
0094092MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20191119002700 OH Practitioner - Nurse Practitioner 9830335454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51342 National Rd
Suite J
Saint Clairsville, OH 43950-1700
Phone (740) 232-2180

Hospital & facility affiliations

  • Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
  • Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
  • Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211
  • Barnesville Hospital Association, Inc Hospital, Barnesville, OH, CCN 361321
  • Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025713OHMDFamily Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ICHJCD/Endpoint/ICHJCD
  • Direct secure messaging: edgmon.michelle.005.0480018@ohvmc.meditab.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1609147883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51342 NATIONAL RD STE J",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501700",
            "telephone_number": "740-232-2180",
            "fax_number": "740-232-2182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51342 NATIONAL RD STE J",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501700",
            "telephone_number": "740-232-2180",
            "fax_number": "740-232-2182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGMON",
        "first_name": "MICHELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.025713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01213515",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094092",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Clairsville, OH

Sources for this page

Verify at the official NPI Registry.