Individual provider Active NPI

Christopher Lee Edmondson, APRN, FNP-BC

  • Family Nurse Practitioner
  • Blue Springs, MO
National Provider Identifier
1982221156
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020019954 Issued in MO
Practice address
104 NW State Route 7 Ste B
Blue Springs, MO 64014-2749
Phone
(816) 229-8880
Fax
(816) 229-4363
NPI assigned
Jul 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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 2020019954 MO Primary

Addresses

Primary practice location

104 NW State Route 7 Ste B
Blue Springs, MO 64014-2749

Mailing address

308 NE Fox Trail Dr
Blue Springs, MO 64014-1779
Phone (816) 215-5790

Other practice location 1

206 NW Mock Ave
Blue Springs, MO 64014-2507
Phone (816) 229-1191

Other practice location 2

18640 E 38th Ter S
Independence, MO 64057-2304
Phone (816) 229-1191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20200818000272 MO Practitioner - Nurse Practitioner 6002232394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Gastroenterology PCGroup PAC ID 7012983877, 4 clinicians

Practice addresses (Care Compare)

18640 E 38TH Ter S
Independence, MO 64057-2304
Phone (816) 229-1191

Hospital & facility affiliations

  • Centerpoint Medical Center Hospital, Independence, MO, CCN 260095
  • St Mary'S Medical Center Hospital, Blue Springs, MO, CCN 260193

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Springs Family Care PC CurrentSince Mar 6, 2023 Accepting new patients

Locations

104 NW State Route 7
Ste B
Blue Springs, MO 64014
Phone (816) 229-8880

Interoperability endpoints

  • Direct secure messaging: christopher.edmondson.1@29698.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1982221156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 NE FOX TRAIL DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640141779",
            "telephone_number": "816-215-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NW STATE ROUTE 7 STE B",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640142749",
            "telephone_number": "816-229-8880",
            "fax_number": "816-229-4363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 NW Mock Ave",
            "address_purpose": "LOCATION",
            "city": "Blue Springs",
            "state": "MO",
            "postal_code": "640142507",
            "country_code": "US",
            "telephone_number": "816-229-1191",
            "fax_number": "816-229-1198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18640 E 38th Ter S",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640572304",
            "country_code": "US",
            "telephone_number": "816-229-1191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020019954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Springs, MO

Sources for this page

Verify at the official NPI Registry.