Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Beth Edgerly, FNP

Individual provider Family Nurse Practitioner · NPI 1922506948

Andrea Beth Edgerly, FNP is a Nurse Practitioner in Coloma, Michigan. Qualified in 2017, 9 years ago. Practices with Lakeland Community Hospital Watervliet, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
9
Licensed in
IN, MI
In the registry since
2018
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

See every abbreviation used in this directory →

Practice location Address checks out

6701 Paw Paw Ave
Coloma, MI 49038-9519
Phone: (269) 463-3600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 621 Memorial Dr Ste 402, South Bend, IN 46601-1074 — (574) 400-4550

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704279479 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 28240769A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 71007815A (IN)

Record details

NPI number1922506948
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 24, 2018
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Lakeland Community Hospital Watervliet — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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