Individual ProviderEdith KpliviNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address28 W Washington St, Hagerstown, MD 21740-6688(240) 595-5497PECOS EnrollmentBased on the most recent information from CMS, provider Edith Kplivi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 2:30 PM.Profile DetailsProvider ID1417650706Provider TypeIndividualFull NameKplivi, EdithCredentialCRNP-PMHGenderFemaleSole ProprietorNoEnumeration Date3/24/2023Last Updated4/26/2024Contact InformationPractice LocationPractice Address28 W Washington St, Hagerstown, MD 21740-6688Phone(240) 595-5497Fax(240) 720-0342Mailing LocationMailing Address28 W Washington St, Hagerstown, MD 21740-6688Phone(240) 595-5497Fax(240) 720-0342Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR148057Maryland