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PAUL EDWARDS PMHNP
NPI 1073060620
Registered Nurse - Psychiatric/Mental Health in Park Ridge, IL

Active since September 01, 2016PECOS Enrolled
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068(847) 759-9110 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2023, Sep 1, 2016 (2 updates tracked since 2016).

About Paul Edwards Pmhnp NPPES

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

PAUL EDWARDS PMHNP (NPI 1073060620) is an individual psychiatric/mental health provider in Park Ridge, Illinois, licensed in Illinois (209.014442) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073060620
Entity TypeIndividualMale
Primary Taxonomy163WP0808X
Provider Legal NamePAUL EDWARDSCredential: PMHNP
Location Address1440 RENAISSANCE DR STE 320Park Ridge, IL 60068-1471
Mailing Address1440 Renaissance Dr Ste 320Park Ridge, IL 60068-1471 · (847) 759-9110
Phone(847) 759-9110
Sole ProprietorNo
Enumeration DateSeptember 1, 2016
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1073060620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in IL · 209.014442
1440 RENAISSANCE DR STE 320, Park Ridge, IL 60068
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Edwards Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Paul Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lutheran Social Services Of Illinois
8.2 mi
Mental Health (Including Community Mental Health Center)
4840 W BYRON ST
Chicago, IL 60641
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1063637684 (773) 282-7800

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

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.

MS. NICKOLETA MERKOURIS PSYD
Psychologist
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
MEGAN PANICI LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
GABRIEL JARA-ALMONTE EDWARDS LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
NICOLE VARVAREZOS LSW
Social Worker
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
MS. JANETTE M. DINGEE LCPC
Counselor (Mental Health)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110
ERICA L HUNGERFORD LCPC
Counselor (Professional)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (872) 356-6150
MR. GARRETT RUSSELL PLUHAR-SCHAEFFER LCSW
Social Worker (Clinical)
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (212) 212-1214
DONALD BRIAN ROSSOFF MFT
Marriage & Family Therapist
1440 RENAISSANCE DR STE 320
PARK RIDGE, IL 60068
Cook County (847) 759-9110

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 Paul Edwards's NPI number?

The NPI number for Paul Edwards is 1073060620. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Paul Edwards located?

Paul Edwards practices at 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068. The listed phone number is (847) 759-9110.

What is Paul Edwards's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Paul Edwards enrolled in Medicare?

Yes. Paul Edwards is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Paul Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Edwards reassigns Medicare benefits to Lutheran Social Services Of Illinois (Chicago, IL). The 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 Paul Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Edwards accept?

Health plans from Oscar Health list Paul Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Edwards was last updated on March 2, 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.