1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Psychiatry Neurology
  6. NPI Profile

MICHELLE A EDWARDS MD
NPI 1730682386
Psychiatry & Neurology - Psychiatry in Appleton, WI

Active since March 09, 2018PECOS EnrolledAccepts Medicare Assignment
100 W COLLEGE AVE FL 3, APPLETON, WI 54911(833) 351-8255(888) 815-3583 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2026, Apr 12, 2023, Dec 1, 2022 and 3 more (6 updates tracked since 2018).

About Michelle A Edwards Md NPPES

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

MICHELLE A EDWARDS MD (NPI 1730682386) is an individual psychiatry provider in Appleton, Wisconsin, licensed in Wisconsin (81341-20) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1730682386
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMICHELLE A EDWARDSCredential: MD
Location Address100 W COLLEGE AVE FL 3Appleton, WI 54911-5749
Mailing Address109 W 27th St Rm 5sNew York, NY 10001-6208 · (833) 351-8255 · Fax (888) 815-3583
Phone(833) 351-8255
Fax(888) 815-3583
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 9, 2018
Last NPPES UpdateJuly 20, 20266 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1730682386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in WI · 81341-20✔ Licensed in WI · 100063-875✔ Licensed in MI · 4301508340
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 W COLLEGE AVE FL 3, Appleton, WI 54911
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1109 W 27th St Rm 5SNew York, NY 10001-6208 · Phone (833) 351-8255 · Fax (888) 815-3583
Location 24200 Fashion Square Blvd Ste 201Saginaw, MI 48603-1375 · Phone (833) 351-8255 · Fax (888) 815-3583

Other Identifiers 1

Other82082American Board Of Psychiatry Neurology

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, UnitedHealthcare.Insurance ›

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

Michelle A Edwards Md 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 ID2264801380
PECOS Enrollment IDI20221213001409, I20221214000760
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

3

Medicare enrollment records show Michelle Edwards reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
12 mi
Family Medicine
555 QUALITY COURT
Wrightstown, WI 54180
  • Reassigned Medicare billing, Wisconsin and Michigan enrollments
  • Also billed through NPI 1114398849 (Michigan)
  • 875 clinicians in this Medicare group
NPI 1225091580 (920) 532-6320
Bellin Psychiatric Center Inc
19 mi
Mental Health (Including Community Mental Health Center)
1800 LAWRENCE DR
De Pere, WI 54115
  • Reassigned Medicare billing, Wisconsin and Michigan enrollments
  • Also billed through NPI 1598728776 (Michigan)
  • 106 clinicians in this Medicare group
NPI 1669434288 (920) 433-3630
Mccd Psychiatry Services PLLC
774 mi
Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York enrollment
  • 590 clinicians in this Medicare group
NPI 1033750823 (917) 634-5311

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 Michelle Edwards's NPI number?

The NPI number for Michelle Edwards is 1730682386. It was assigned to this individual provider in the NPPES registry on March 9, 2018.

Where is Michelle Edwards located?

Michelle Edwards practices at 100 W College Ave Fl 3, Appleton, WI 54911. The listed phone number is (833) 351-8255.

What is Michelle Edwards's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michelle Edwards enrolled in Medicare?

Yes. Michelle 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 Michelle Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Edwards reassigns Medicare benefits to 3 organizations: Bellin Memorial Hospital Inc (Wrightstown, WI), Bellin Psychiatric Center Inc (De Pere, WI) and Mccd Psychiatry Services PLLC (New York, NY). 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 Michelle Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Edwards accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and UnitedHealthcare list Michelle 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 Michelle Edwards was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.