ANNALISE GULSTAD
NPI 1063384295
Counselor - Mental Health in Minneapolis, MN
About Annalise Gulstad NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNALISE GULSTAD (NPI 1063384295) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (CC05199) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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)
Annalise Gulstad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Annalise Gulstad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 152 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.
MINNEAPOLIS, MN 55416
MINNEAPOLIS, MN 55416
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 Annalise Gulstad's NPI number?
The NPI number for Annalise Gulstad is 1063384295. It was assigned to this individual provider in the NPPES registry on September 18, 2025.
Where is Annalise Gulstad located?
Annalise Gulstad practices at 3033 Excelsior Blvd, Minneapolis, MN 55416. The listed phone number is (612) 979-2276.
What is Annalise Gulstad's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Annalise Gulstad enrolled in Medicare?
Yes. Annalise Gulstad is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Annalise Gulstad's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Annalise Gulstad reassigns Medicare benefits to Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN). The 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 Annalise Gulstad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Annalise Gulstad accept?
Health plans from HealthPartners list Annalise Gulstad 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 Annalise Gulstad was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Annalise Gulstad · NPI 1063384295
Mental Health provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since September 18, 2025.
## Identity
- **NPI:** 1063384295 (Entity type: Individual)
- **Enumerated:** September 18, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** CC05199 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3033 EXCELSIOR BLVD, Minneapolis, MN 55416-4688
- **Phone:** (612) 979-2276
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lyn-Lake Psychotherapy And Wellness Ltd. (NPI 1609355163, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** September 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063384295) · Data from the CMS NPPES public registry.