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Jared Daniel Edmonds, PMHNP

NPI 1245040567ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Wilmington, NC

Nurse Practitioner, Psych/Mental Health (PMHNP) with Lifesource of North Carolina and 1 other group, practicing in Wilmington, North Carolina. Enrolled in Medicare as practitioner - nurse practitioner.

Overview

NPI1245040567
StatusActive
Entity typeIndividual
CredentialPMHNP
Sole proprietorYes
NPI issuedJan 9, 2025
Last updated in NPPESFeb 6, 2025
Certified by providerFeb 6, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X5021554NC
Nurse Practitioner, Psych/Mental Health363LP0808X245445NC

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (NC)

Medicare sources and data years

Education and affiliations

Graduation year2024
Medicare specialtyNurse Practitioner
TelehealthOffers telehealth

Medical groups

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Nurse Practitioner, Psych/Mental Health providers in Wilmington

All Nurse Practitioner, Psych/Mental Health providers in North Carolina →