ANDY JAY EDWARDS MSN, APRN, FNP-C
NPI 1063910933
Nurse Practitioner - Psychiatric/Mental Health in Midvale, UT

Active since January 25, 2018PECOS EnrolledAccepts Medicare Assignment
7050 UNION PARK CENTER, #200, MIDVALE, UT 84047(888) 562-5442(562) 499-6171 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2023, Mar 21, 2018, Feb 14, 2018 (3 updates tracked since 2018).

About Andy Jay Edwards Msn, Aprn, Fnp-c NPPES

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

ANDY JAY EDWARDS MSN, APRN, FNP-C (NPI 1063910933) is an individual psychiatric/mental health provider in Midvale, Utah, licensed in Utah (8560489-4405) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1063910933
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANDY JAY EDWARDSCredential: MSN, APRN, FNP-C
Location Address7050 UNION PARK CENTER, #200Midvale, UT 84047-4171
Mailing Address200 Oceangate Ste 100Long Beach, CA 90802-4317 · (888) 562-5442 · Fax (562) 499-6171
Fax(562) 499-6171
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 25, 2018
Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration
NPPES CertifiedJuly 21, 2022
NPI 1063910933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in UT · 8560489-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License 8650489-3102 (UT)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 8560489-4405 (UT), 8650489-4405 (UT)
7050 UNION PARK CENTER, Midvale, UT 84047

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

Andy Jay Edwards Msn, Aprn, Fnp-c 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 ID4789946203
PECOS Enrollment IDI20251028001753
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 84047 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

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 Andy Edwards's NPI number?

The NPI number for Andy Edwards is 1063910933. It was assigned to this individual provider in the NPPES registry on January 25, 2018.

Where is Andy Edwards located?

Andy Edwards practices at 7050 Union Park Center #200, Midvale, UT 84047. The listed phone number is (888) 562-5442.

What is Andy Edwards's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Andy Edwards enrolled in Medicare?

Yes. Andy 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 Andy Edwards was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.