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MR. NATHAN JOHN EDMUNDSON PSYD
NPI 1861688384
Psychologist - Clinical in Alexandria, VA

Active since September 18, 2007PECOS Enrolled
118 E DEL RAY AVE, ALEXANDRIA, VA 22301(703) 348-6427 Get Directions Write a Review

NPPES record last updated: July 20, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 20, 2018, Jun 20, 2016 (2 updates tracked since 2016).

About Mr. Nathan John Edmundson Psyd NPPES

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

MR. NATHAN JOHN EDMUNDSON PSYD (NPI 1861688384) is an individual clinical provider in Alexandria, Virginia, licensed in Virginia (0810005996) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1861688384
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameMR. NATHAN JOHN EDMUNDSONCredential: PSYD
Location Address118 E DEL RAY AVEAlexandria, VA 22301
Mailing Address306 1/2 E Del Ray AveAlexandria, VA 22301-1234 · (626) 665-7582
Phone(703) 348-6427
Sole ProprietorNo
Enumeration DateSeptember 18, 2007
Last NPPES UpdateJuly 20, 20182 updates tracked since enumeration
✔ NPI 1861688384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in VA · 0810005996✔ Licensed in CO · 0004017✔ Licensed in CA · PSY29380
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
118 E DEL RAY AVE, Alexandria, VA 22301
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1118 E Del Ray AveAlexandria, VA 22301-1324 · Phone (703) 348-6427
Location 2309 E Saint Vrain StColorado Springs, CO 80903-1123 · Phone (719) 473-9200
Location 31300 Oliver Rd Ste 193Fairfield, CA 94534-3431 · Phone (707) 514-5812
Location 4306 1/2 E Del Ray AveAlexandria, VA 22301-1234 · Phone (202) 250-0287

Other Identifiers 1

Medicaid36550264CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nathan John Edmundson Psyd 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 Reassignments

2

Medicare enrollment records show Nathan Edmundson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
918 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Texas enrollment
  • 1,573 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Brightside Medical, P.C.
2,443 mi
Psychiatry
5214F DIAMOND HEIGHTS BLVD # 345
San Francisco, CA 94131
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Brightside Medical PC
  • 231 clinicians in this Medicare group
NPI 1801355482 (415) 360-3348

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 22301 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 Nathan Edmundson's NPI number?

The NPI number for Nathan Edmundson is 1861688384. It was assigned to this individual provider in the NPPES registry on September 18, 2007.

Where is Nathan Edmundson located?

Nathan Edmundson practices at 118 E Del Ray Ave, Alexandria, VA 22301. The listed phone number is (703) 348-6427.

What is Nathan Edmundson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nathan Edmundson enrolled in Medicare?

Yes. Nathan Edmundson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nathan Edmundson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Edmundson reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Brightside Medical, P.C. (San Francisco, CA). 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 Nathan Edmundson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Edmundson accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare, Harbor Health and Imperial Insurance Companies, Inc. and 3 other insurers list Nathan Edmundson 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 Nathan Edmundson was last updated on July 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.