DR. ERIK DE WATER (PHD) – Clinical Neuropsychologist, NPI 1013557057
Clinical Neuropsychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ERIK DE WATER (PHD)
4135 BENJAMIN DR
WOODBURY, MN 551292233
Phone: (646) 334-8790
Type: Mailing
7373 FRANCE AVE S STE 302
EDINA, MN 554354538
Phone: (952) 595-5652
Type: Location
333 SIBLEY ST UNIT 602
SAINT PAUL, MN 551012694
Phone: (646) 334-8790
Type: Mailing
1876 MINNEHAHA AVE W
SAINT PAUL, MN 551041029
Phone: (651) 917-2370
Type: Location
1876 Minnehaha Ave W
Saint Paul, MN 551041029
Phone: (651) 917-2370
Type: Location
721 Commerce Drive
Woodbury, MN 551255512
Phone: (651) 424-4003
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: 2021-07-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210726000238 | I | Clinical Psychologist | MN | TBD |
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.
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 55129)
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