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

Q: 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.

Q: 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.

Q: 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.

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: November 01, 2026.

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

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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

Phone(888) 562-5442

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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Andy Edwards reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of Utah Inc

0.1 mi

Family

7050 S UNION PARK AVE STE 200
Midvale, UT 84047

Reassigned Medicare billing, Utah enrollment
75 clinicians in this Medicare group

NPI 1619486396 (888) 562-5442

Molina Healthcare Of California

535 mi

Family Medicine

44216 10TH ST W
Lancaster, CA 93534

Reassigned Medicare billing, California enrollment
339 clinicians in this Medicare group

NPI 1508970955 (661) 723-7416

Central Health Plan Of California, Inc.

563 mi

Health Maintenance Organization

1540 BRIDGEGATE DR
Diamond Bar, CA 91765

Reassigned Medicare billing, California enrollment
283 clinicians in this Medicare group

NPI 1386714772 (626) 388-2390

Molina Care Connections, LLC.

588 mi

Nurse Practitioner

200 OCEANGATE STE 100
Long Beach, CA 90802

Reassigned Medicare billing, Connecticut, Idaho and Nevada enrollments
86 clinicians in this Medicare group

NPI 1407243223 (888) 562-5442

Molina Healthcare Of Washington, Inc

712 mi

Family Medicine

21540 30TH DR SE STE 400
Bothell, WA 98021

Reassigned Medicare billing, Washington enrollment
207 clinicians in this Medicare group

NPI 1659897163 (888) 562-5442

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Andy Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andy Edwards reassigns Medicare benefits to 5 organizations: Molina Healthcare Of Utah Inc (Midvale, UT), Molina Healthcare Of California (Lancaster, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA), Molina Care Connections, LLC. (Long Beach, CA) and Molina Healthcare Of Washington, Inc (Bothell, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andy Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.