Dr Kevin James Edwards, PHD - Medicare Psychologist in Baxter, MN

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Dr Kevin James Edwards, PHD is a medicare enrolled "Psychologist - Clinical" provider in Baxter, Minnesota. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Nystrom And Associates Ltd and his current practice location is 13045 Falcon Dr Ste 100, Baxter, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 829-9307.

Dr Kevin James Edwards is licensed to practice in Minnesota (license number LP3464) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053435743.

Contact Information

Dr Kevin James Edwards, PHD
13045 Falcon Dr Ste 100,
Baxter, MN 56425-4201
(218) 829-9307
(218) 829-7649

Map and Direction




Healthcare Provider's Profile

Full NameDr Kevin James Edwards
GenderMale
SpecialityClinical Psychologist
Experience34 Years
Location13045 Falcon Dr Ste 100, Baxter, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin James Edwards graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1053435743
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 11/21/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9638419260
  • Enrollment ID: I20251204002786

Medical Identifiers

Medical identifiers for Dr Kevin James Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053435743NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical LP3464 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Nystrom And Associates Ltd6406752492590

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kevin James Edwards allows following entities to bill medicare on his behalf.
Entity NameSt Josephs Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568415974
PECOS PAC ID: 8224948443
Enrollment ID: O20031119000468
Entity NameNystrom & Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin James Edwards is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kevin James Edwards, PHD
1900 Silver Lake Rd Nw Ste 110,
New Brighton, MN 55112-1789

Ph: (651) 628-9566		Dr Kevin James Edwards, PHD
13045 Falcon Dr Ste 100,
Baxter, MN 56425-4201

Ph: (218) 829-9307

Reviews and Comments


Psychologist in Baxter, MN

Ms. Amanda Jo Hintz, MS, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7115 Forthun Rd, Suite 105, Baxter, MN 56425
Phone: 218-454-0090    Fax: 218-454-0091
Diane Dunn, MA, RN, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 13021 Evergreen Dr, Baxter, MN 56425
Phone: 218-829-9307    Fax: 218-829-7649
Charles Fields, MA, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 13021 Evergreen Dr, Baxter, MN 56425
Phone: 218-829-9307    
Dr. Donna Sue Peterson, PSY.D, LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 13045 Falcon Dr, Suite 100, Baxter, MN 56425
Phone: 218-829-9307    Fax: 218-829-7649
Bryn Yahn,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 14275 Golf Course Dr., Suite 160, Baxter, MN 56425
Phone: 218-828-1028    Fax: 218-824-0137
Morgen Joray Juel, PH.D., LP
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 13045 Falcon Dr, Suite 100, Baxter, MN 56425
Phone: 218-829-9307    
Mr. Larry Howard Zarling, MA LP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 7115 Forthun Road, Suite 105, Baxter, MN 56425
Phone: 218-454-0090    Fax: 218-454-0091

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.