KEVIN LEE EDWARDS – Clinical Psychologist, NPI 1497215297

KEVIN LEE EDWARDS is a healthcare provider. based in Wichita, Kansas. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. 146 (KS). The NPI Number for KEVIN LEE EDWARDS is 1497215297

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN LEE EDWARDS
NPI
1497215297
Phone
(316) 634-8710
Address
8700 E 29TH ST N
Enumeration Date
20 March 2019
Last Update Date
20 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3162473063
Graduation Year
1988 (38 years ago)
PAC ID
8729509138
Group Practice PAC ID
6103180690
Professional Enrollment ID
I20250228003370
Address ID
KS670027935AN149XXRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

282 CLINICAL PSYCHOLOGIST in KS

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Provider Addresses for KEVIN LEE EDWARDS

  • Heartspring Special Needs School, 8700, East 29th Street North, Wichita, Sedgwick County, Kansas, 67226, United States

    WICHITA, KS 672262169

    Phone: (316) 634-8710

    Fax: (316) 634-8891

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250228003370IClinical PsychologistKSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67226)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103180690View full group profile
NameSpecialtyState
Marriage And Family TherapistKS
Clinical Social WorkerKS
Clinical Social WorkerKS

Reviews

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Frequently asked questions

Can I use this page to confirm KEVIN LEE EDWARDS's NPI?
Yes. KEVIN LEE EDWARDS is listed with NPI 1497215297 in the public NPI dataset.
Does CMS list KEVIN LEE EDWARDS as active?
Yes — KEVIN LEE EDWARDS is active in the NPI listing used on this page.
What taxonomy line describes KEVIN LEE EDWARDS?
For research purposes, treat KEVIN LEE EDWARDS as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KEVIN LEE EDWARDS?
KEVIN LEE EDWARDS's geographic hint is Wichita, Kansas in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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