Individual provider Active NPI

Myranda Nycole Edwards

  • Family Nurse Practitioner
  • Burnsville, NC
National Provider Identifier
1659911634
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5012682 Issued in NC
Practice address
856 Georges Fork Rd
Burnsville, NC 28714-7842
Phone
(828) 682-9675
NPI assigned
Jan 8, 2020
Last updated
Nov 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5012682 NC
Family Nurse Practitioner 363LF0000X 5012682 NC Primary

Addresses

Primary practice location

856 Georges Fork Rd
Burnsville, NC 28714-7842

Mailing address

856 Georges Fork Rd
Burnsville, NC 28714-7842
Phone (828) 682-9675

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address redwards@compassionatecarewnc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200211001641 NC Practitioner - Nurse Practitioner 4789010752 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
East Tennessee State University Quillen College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice of Yancey County IncGroup PAC ID 3375560055, 3 clinicians

Practice addresses (Care Compare)

856 Georges Fork Rd
Burnsville, NC 28714-7842
Phone (828) 682-9675

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Family Health PLLC Family CurrentSince Apr 13, 2025 Accepting new patients
Hospice of Yancey County, Inc. CurrentSince Oct 15, 2023 Accepting new patients
County of Yancey CurrentSince Mar 1, 2023 Accepting new patients

Locations

14 Academy St
Burnsville, NC 28714
Phone (828) 536-5125

202 Medical Campus Dr
Burnsville, NC 28714
Phone (828) 682-6118

856 Georges Fork Rd
Burnsville, NC 28714
Phone (828) 682-9675

Interoperability endpoints

  • Direct secure messaging: myranda.edwards@64452452286468.direct.elationemr.com

Organizations & group practices 3

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 3

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1659911634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 GEORGES FORK RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147842",
            "telephone_number": "828-682-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 GEORGES FORK RD",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287147842",
            "telephone_number": "828-682-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MYRANDA",
        "middle_name": "NYCOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5012682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5012682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "redwards@compassionatecarewnc.org",
            "affiliation": "N",
            "address_1": "856 Georges Fork Rd",
            "city": "Burnsville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287147842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.