KEVIN J BARDWELL MD
NPI 1801875869
Family Medicine in Baxter, MN

Q: What is Kevin Bardwell's NPI number?

The NPI number for Kevin Bardwell is 1801875869. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Q: What is Kevin Bardwell's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Bardwell was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 10, 2006PECOS EnrolledAccepts Medicare Assignment

13060 ISLE DR, BAXTER, MN 56425(218) 828-2880 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Kevin J Bardwell Md NPPES

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

KEVIN J BARDWELL MD (NPI 1801875869) is an individual family medicine provider in Baxter, Minnesota, licensed in Minnesota (36003) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1991).

NPPES Registry Identity

NPI1801875869

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameKEVIN J BARDWELLCredential: MD

Location Address13060 ISLE DRBaxter, MN 56425-8331

Mailing Address1702 University Dr SFargo, ND 58103-4940

Phone(218) 828-2880

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1991

Enumeration DateJanuary 10, 2006

Last NPPES UpdateJuly 8, 2019

✔ NPI 1801875869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 36003

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

13060 ISLE DR, Baxter, MN 56425

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Other Identifiers 11

Medicaid204283500MN

Medicaid32013500WI

Other21851MN · Americas Ppo

Other0118449MN · Medica

Other105085MN · Ucare

Other62B41BAMN · Bcbs

OtherHP15832MN · Health Partners

Other41084933956001C072Champus

Medicaid0572149IA

Other080163236Rr Medicare

OtherNA2951006282MN · Preferred One

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

Kevin J Bardwell 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 ID1456254390

PECOS Enrollment IDI20050615000108

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 Kevin Bardwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Joseph's Medical Center

Same address

General Practice

13060 ISLE DRIVE
Baxter, MN 56425

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Josephs Medical Center
340 clinicians in this Medicare group

NPI 1174809792 (218) 828-2880

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 4

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

138 services132 patients

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.

75 services71 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240075

Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56425 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

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.

SHANNON N SIEKAS

Nurse Practitioner (Family)