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DR. KEVIN JAMES EDWARDS PH.D.
NPI 1053435743
Psychologist - Clinical in Baxter, MN

Active since March 19, 2007PECOS EnrolledAccepts Medicare Assignment
13045 FALCON DR STE 100, BAXTER, MN 56425(218) 829-9307(218) 829-7649 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kevin James Edwards Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN JAMES EDWARDS PH.D. (NPI 1053435743) is an individual clinical provider in Baxter, Minnesota, licensed in Minnesota (LP3464) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1053435743
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KEVIN JAMES EDWARDSCredential: PH.D.
Location Address13045 FALCON DR STE 100Baxter, MN 56425-4201
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(218) 829-9307
Fax(218) 829-7649
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 19, 2007
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1053435743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP3464
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
13045 FALCON DR STE 100, Baxter, MN 56425
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin James Edwards Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638419260
PECOS Enrollment IDI20251204002786
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD ALAN YURICK MSW, LGSW
Social Worker
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (844) 820-7391
KATHERINE ROSE HABERKORN LICSW
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
KELBY OLSON-RODEL
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (320) 219-9228
STEPHANIE SARAZINE PMHNP-BC, CNP
Psychiatry & Neurology (Psychiatry)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
MRS. KARLI HELLER
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
SAMANTHA ANN HUGUELET CNS
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
EVONNE SIROIS MSW, LICSW
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307
ALISSA SLADEK MSW, LICSW
Social Worker (Clinical)
13045 FALCON DR STE 100
BAXTER, MN 56425
Crow Wing County (218) 829-9307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Edwards's NPI number?

The NPI number for Kevin Edwards is 1053435743. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Kevin Edwards located?

Kevin Edwards practices at 13045 Falcon Dr Ste 100, Baxter, MN 56425. The listed phone number is (218) 829-9307.

What is Kevin Edwards's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Kevin Edwards enrolled in Medicare?

Yes. Kevin Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kevin Edwards was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.