Daniel Matthew Edgar

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP021026 Issued in PA

Practice address

1 Heidelberg Dr
Wernersville, PA 19565-1642

Phone

(610) 927-8512

Fax

(610) 927-8427

NPI assigned

Jan 23, 2020

Sex

Male

Sole proprietor

No

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 PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.edgar.p32@direct.medcor.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.

• Phoebe Corporate and Community Based Services Inc

  • Rehabilitation Clinic/Center
  • Wernersville, PA
  • NPI 1457617813
  Medicare reassignment NPD
• Phoebe Corporate & Community Based Services

  • Health Service Clinic/Center
  • Wernersville, PA
  • NPI 1558733378
  NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1689204232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HEIDELBERG DR",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651642",
            "telephone_number": "610-927-8512",
            "fax_number": "610-927-8427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HEIDELBERG DR",
            "city": "WERNERSVILLE",
            "state": "PA",
            "postal_code": "195651642",
            "telephone_number": "610-927-8512",
            "fax_number": "610-927-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "DANIEL",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP021026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chris Decocinis
• Scott T Dittus, DPM
• Michelle Marie Doleniak, MA, RD, LDN
• Dr Raylene a Devine
• Kelly A Eberly, OTR
• Elemental Wellness LLC
• Ephrata Community Hospital
• Jennifer Ewald
• Exclusive Rehabilitation Services LLC
• Jennifer Fernandez, PH.D.

• Family Nurse Practitioner in Wernersville, PA
• Providers in Wernersville, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.