DR. JANICA SUE EDWARDS (L.P.) – Psychologist, NPI 1770948028

DR. JANICA SUE EDWARDS (L.P.) is a healthcare provider. based in North branch, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials L.P.. They hold a License No. LP5973 (MN). The NPI Number for DR. JANICA SUE EDWARDS (L.P.) is 1770948028

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DR. JANICA SUE EDWARDS (L.P.)
NPI
1770948028
Phone
(651) 401-3064
Address
38873 14TH AVE
Enumeration Date
30 December 2015
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3206825225
Graduation Year
2014 (12 years ago)
PAC ID
9537462734
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20160121002129
Address ID
MN553021109AN440XXEXXX400
Telehealth
Yes

Contacts

Secure Messaging
jedwards571184@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for DR. JANICA SUE EDWARDS (L.P.)

  • 38873 14TH AVE

    SUITE 7

    NORTH BRANCH, MN 550566079

    Phone: (651) 401-3064

    Fax: (651) 251-5111

    Type: Mailing

  • 300 5TH AVE NE

    ISANTI, MN 550402205

    Phone: (763) 688-9700

    Type: Location

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: 2016-01-21

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
I20160121002129IClinical PsychologistMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes15417$0
90791Psychiatric diagnostic evaluation1616$0
View full utilization report →

Insurance plans in this area (ZIP 55056)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JANICA SUE EDWARDS (L.P.)?
DR. JANICA SUE EDWARDS (L.P.) — NPI 1770948028 — is the standard way to identify this listing.
Is DR. JANICA SUE EDWARDS (L.P.) still practicing?
DR. JANICA SUE EDWARDS (L.P.) is currently listed as active in the public NPI registry.
What is DR. JANICA SUE EDWARDS (L.P.)'s primary classification?
Psychologist is the headline specialty for DR. JANICA SUE EDWARDS (L.P.) here. Clinical services aligned with this taxonomy classification.
What address line appears for DR. JANICA SUE EDWARDS (L.P.)?
DR. JANICA SUE EDWARDS (L.P.)'s geographic hint is North Branch, Minnesota in our summary view.
Why does DR. JANICA SUE EDWARDS (L.P.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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