ANNALISE GULSTAD
NPI 1063384295
Counselor - Mental Health in Minneapolis, MN

Active since September 18, 2025PECOS Enrolled
3033 EXCELSIOR BLVD, MINNEAPOLIS, MN 55416(612) 979-2276 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1063384295
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANNALISE GULSTAD
Location Address3033 EXCELSIOR BLVDMinneapolis, MN 55416-4688
Mailing Address621 W Lake St Ste 350Minneapolis, MN 55408-2952
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
NPI 1063384295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MN · CC05199
3033 EXCELSIOR BLVD, Minneapolis, MN 55416

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8123515541
PECOS Enrollment IDI20251017001180
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.

Psychologist
3033 EXCELSIOR BLVD, SUITE 565
MINNEAPOLIS, MN 55416
Social Worker (Clinical)
3033 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416
Ophthalmology
3033 EXCELSIOR BLVD, SUITE 205
MINNEAPOLIS, MN 55416
Family Medicine
3033 EXCELSIOR BLVD, 585
MINNEAPOLIS, MN 55416
Midwife
3033 EXCELSIOR BLVD
MINNEAPOLIS, MN 55416
Neurological Surgery
3033 EXCELSIOR BLVD, SUITE 403
MINNEAPOLIS, MN 55416
Psychiatry & Neurology (Psychosomatic Medicine)
3033 EXCELSIOR BLVD, SUITE #490
MINNEAPOLIS, MN 55416
Counselor (Mental Health)
3033 EXCELSIOR BLVD
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.

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 10 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.