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

Individual provider Acute Care Nurse Practitioner · NPI 1982248548

Kellie Edwardsen, AGACNP is a Nurse Practitioner in Dallas, Texas. Qualified in 2019, 7 years ago. Practices with Dallas Pulmonary and Critical Care PA, a 186-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

221 W Colorado Blvd
Dallas, TX 75208-2363
Phone: (214) 934-8424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence AP143845 (TX)

Record details

NPI number1982248548
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESNovember 6, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dallas Pulmonary And Critical Care Pa — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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