Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Bedore

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639821325

Evan Bedore is a Mental Health Counselor in Otsego, Minnesota. Qualified in 2021, 5 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022

Practice location Address checks out

9245 Quantrelle Ave NE
Otsego, MN 55330-0168
Phone: (320) 219-9472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1639821325
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 24, 2022
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022
Mailing address9245 Quantrelle Ave Ne, Otsego, MN 55330-0168

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Otsego