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

Individual provider Family Nurse Practitioner · NPI 1417596875

Lance Edgerton, FNP-C is a Nurse Practitioner in Petoskey, Michigan. Qualified in 2019, 7 years ago. Practices with McLaren Central Michigan, a 179-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2390 Mitchell Park Dr Ste D
Petoskey, MI 49770-8965
Phone: (231) 487-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704286475 (MI)

Record details

NPI number1417596875
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJanuary 3, 2020
Last updated in NPPESJune 16, 2020
Certification dateJune 16, 2020
Mailing address2390 Mitchell Park Dr, Petoskey, MI 49770-8965

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 McLaren Central Michigan — 179 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Petoskey