EDWARDS MEDICAL PROVIDER GROUP
NPI 1619573904
Clinic/Center - Multi-Specialty in Edwards, CO
About Edwards Medical Provider Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARDS MEDICAL PROVIDER GROUP (NPI 1619573904) is a healthcare organization registered as a multi-specialty in Edwards, Colorado and active in the NPI registry since December 2020. The organization lists Christopher Austin, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edwards Medical Provider Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Edwards Medical Provider Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Edwards Medical Provider Group's NPI number?
The NPI number for Edwards Medical Provider Group is 1619573904. It was assigned to this organization in the NPPES registry on December 10, 2020.
Where is Edwards Medical Provider Group located?
Edwards Medical Provider Group is located at 2205 Cordillera Way Ste Ll, Edwards, CO 81632. The listed phone number is (970) 693-0015.
What is Edwards Medical Provider Group's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Edwards Medical Provider Group enrolled in Medicare?
Yes. Edwards Medical Provider Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edwards Medical Provider Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Edwards Medical Provider Group. A 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 the clinician's services. The largest specialties are Nurse Practitioner (6) and Psychiatry (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Edwards Medical Provider Group was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Edwards Medical Provider Group · NPI 1619573904
Multi-Specialty organization in Edwards, Colorado. Organization record, active in the CMS NPPES registry since December 10, 2020.
## Identity
- **NPI:** 1619573904 (Entity type: Organization)
- **Enumerated:** December 10, 2020
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Christopher Austin, CFO
## Practice location
- **Address:** 2205 CORDILLERA WAY STE LL, Edwards, CO 81632-6290
- **Phone:** (970) 693-0015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (6), Psychiatry (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619573904) · Data from the CMS NPPES public registry.