Kristine Edwards, NP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704279184NSA1910T Issued in MI

Practice address

723 Woodlawn Ave
Jackson, MI 49203-2921

Phone

(765) 491-2570

NPI assigned

Mar 19, 2020

Sex

Female

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 MI

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Onsight IncGroup PAC ID 6507938800, 27 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.82 of 100Reported as group

Quality

61.63

Promoting interoperability

100

Improvement activities

40

Cost

81.1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristine.edwards.p16@direct.360care.nextgenshare.com

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.

• Onsight, Inc.

  • Podiatrist
  • East Lansing, MI
  • NPI 1821248568
  Medicare reassignment Care Compare group NPD
• Onsight, Inc.

  • Geriatric Medicine (Family Medicine) Physician
  • East Lansing, MI
  • NPI 1386950731
  NPD
• Onsight, Inc.

  • Dentist
  • East Lansing, MI
  • NPI 1730339474
  NPD
• Giaimo Mobile Podiatry of WV PLLC

  • Podiatrist
  • Charleston, WV
  • NPI 1386183473
  NPD (past)

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1669008926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 WOODLAWN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032921",
            "telephone_number": "765-491-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 WOODLAWN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492032921",
            "telephone_number": "765-491-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KRISTINE",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704279184NSA1910T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Edward, LMSW-C
• Cassandra Edwards
• Diaja Edwards
• Diamond Edwards
• Hilary Edwards, RD
• Susan Edwards
• David Eugene Eggert, MD
• Emily Michelle Eggleston, CRNA
• Angela Nicole Egmon, PA-C
• Meredith Ehlmann

• Family Nurse Practitioner in Jackson, MI
• Providers in Jackson, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.