NICHOLAS WEIDNER
NPI 1033627716
Counselor - Mental Health in Eagan, MN
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
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicholas Weidner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Nicholas Weidner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Eagan, MN 55121
- Reassigned Medicare billing, Minnesota enrollment
Lakeville, MN 55044
- Reassigned Medicare billing, Minnesota enrollment
- 38 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
EAGAN, MN 55121
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.
Which organizations bill Medicare for Nicholas Weidner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Weidner reassigns Medicare benefits to 2 organizations: Veritas Services LLC (Eagan, MN) and Life Development Resources, PA (Lakeville, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Weidner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicholas Weidner accept?
Health plans from HealthPartners 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicholas Weidner · NPI 1033627716
Mental Health provider in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since January 17, 2018.
## Identity
- **NPI:** 1033627716 (Entity type: Individual)
- **Enumerated:** January 17, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CC1831 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 860 BLUE GENTIAN RD STE 200, Eagan, MN 55121-1567
- **Phone:** (651) 315-5274
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Veritas Services LLC (NPI 1376330043, Eagan, MN); Life Development Resources, PA (NPI 1902953169, Lakeville, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033627716) · Data from the CMS NPPES public registry.