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NICHOLAS WEIDNER
NPI 1033627716
Counselor - Mental Health in Eagan, MN

Active since January 17, 2018PECOS Enrolled
860 BLUE GENTIAN RD STE 200, EAGAN, MN 55121(651) 315-5274 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2026, Dec 6, 2019, Jan 17, 2018 (3 updates tracked since 2018).

About Nicholas Weidner NPPES

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

NICHOLAS WEIDNER (NPI 1033627716) is an individual mental health provider in Eagan, Minnesota, licensed in Minnesota (CC1831) and active in the NPI registry since January 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033627716
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNICHOLAS WEIDNER
Location Address860 BLUE GENTIAN RD STE 200Eagan, MN 55121-1567
Mailing Address13288 Brass PkwyRosemount, MN 55068-2772
Phone(651) 315-5274
Sole ProprietorYes
Enumeration DateJanuary 17, 2018
Last NPPES UpdateApril 25, 20263 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
✔ NPI 1033627716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC1831
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 304455 (MN)
860 BLUE GENTIAN RD STE 200, Eagan, MN 55121
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence 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 (PECOS)

Nicholas Weidner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

NAJMA JAMA
Behavior Analyst
860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121
Dakota County (470) 306-5280
FAADUMO CRISAAQ AHMED
Behavior Technician
860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121
Dakota County (651) 802-2533
WAVE COMFORT CARE SERVICES LLC
Community/Behavioral Health
860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121
Dakota County (612) 226-7786
ABDULLAHI ABDI MOULID
Behavior Technician
860 BLUE GENTIAN RD STE 200
SAINT PAUL, MN 55121
Dakota County (612) 261-7454
SUGRA KALIF
Behavior Technician
860 BLUE GENTIAN RD STE 200
SAINT PAUL, MN 55121
Dakota County (612) 261-7454
PATRICK STEPHEN CARNEY L.P.
Psychologist
860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121
Dakota County (651) 252-1050
VANG HOUA XIONG
Behavior Technician
860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121
Dakota County (612) 366-5931
HOZHO PSYCHIATRY & WELLNESS PLLC
Clinic/Center
860 BLUE GENTIAN RD STE 200
EAGAN, MN 55121
Dakota County (612) 619-0021

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 Nicholas Weidner's NPI number?

The NPI number for Nicholas Weidner is 1033627716. It was assigned to this individual provider in the NPPES registry on January 17, 2018.

Where is Nicholas Weidner located?

Nicholas Weidner practices at 860 Blue Gentian Rd Ste 200, Eagan, MN 55121. The listed phone number is (651) 315-5274.

What is Nicholas Weidner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicholas Weidner enrolled in Medicare?

Yes. Nicholas Weidner is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Weidner accept?

Health plans from HealthPartners and Providence Health Plan list Nicholas Weidner 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.

When was this NPI record last updated?

The NPPES record for Nicholas Weidner was last updated on April 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.