DR. JOEL NATHANIEL EDWALL MD
NPI 1942829387
Family Medicine in Duluth, MN

Q: What is Joel Edwall's NPI number?

The NPI number for Joel Edwall is 1942829387. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Q: What is Joel Edwall'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 Joel Edwall was last updated on August 21, 2023. 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.

Active since April 15, 2020PECOS EnrolledAccepts Medicare Assignment

26 E SUPERIOR ST STE 205, DULUTH, MN 55802(218) 249-5555 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2023, Apr 15, 2020 (2 updates tracked since 2020).

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About Dr. Joel Nathaniel Edwall Md NPPES

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

DR. JOEL NATHANIEL EDWALL MD (NPI 1942829387) is an individual family medicine provider in Duluth, Minnesota, licensed in Minnesota (74971) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942829387

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JOEL NATHANIEL EDWALLCredential: MD

Location Address26 E SUPERIOR ST STE 205Duluth, MN 55802-2196

Mailing Address26 E Superior St Ste 205Duluth, MN 55802-2196 · (218) 249-5555

Phone(218) 249-5555

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 15, 2020

Last NPPES UpdateAugust 21, 20232 updates tracked since enumeration

NPPES CertifiedAugust 21, 2023

✔ NPI 1942829387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in MN · 74971✔ Licensed in AL · 0000000000000

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.

26 E SUPERIOR ST STE 205, Duluth, MN 55802

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Joel Nathaniel Edwall 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 ID8022449172

PECOS Enrollment IDI20231004004004

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.

Areas of Expertise CMS Part B claims 5

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.

58 services39 patients

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.

42 services37 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

32 services13 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

17 services17 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Hospital

Acute Care Hospitals · Duluth, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240047

Location915 East 1st StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Riverwood Healthcare Center

Critical Access Hospitals · Aitkin, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241305

Location200 Bunker Hill DriveAitkin, MN 56431 · Aitkin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55802 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BRIAN A CAPPS MD

Family Medicine

26 E SUPERIOR ST STE 205
DULUTH, MN 55802

St. Louis County (218) 249-4300

CHELSEA CROUCH

Family Medicine

26 E SUPERIOR ST STE 205
DULUTH, MN 55802

St. Louis County (218) 249-5555

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 Joel Edwall's NPI number?

The NPI number for Joel Edwall is 1942829387. It was assigned to this individual provider in the NPPES registry on April 15, 2020.

Where is Joel Edwall located?

Joel Edwall practices at 26 E Superior St Ste 205, Duluth, MN 55802. The listed phone number is (218) 249-5555.

What is Joel Edwall's specialty?

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

Is Joel Edwall enrolled in Medicare?

Yes. Joel Edwall 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.

What insurance does Joel Edwall accept?

Health plans from HealthPartners, Medica and Security Health Plan list Joel Edwall 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.

Is Joel Edwall affiliated with any hospitals?

According to CMS data, Joel Edwall is affiliated with St Lukes Hospital and Riverwood Healthcare Center.

When was this NPI record last updated?

The NPPES record for Joel Edwall was last updated on August 21, 2023. 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.