KRISTIN MARIE ANTTILA MSW, LICSW
NPI 1063886356
Social Worker - Clinical in Minneapolis, MN
About Kristin Marie Anttila Msw, Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTIN MARIE ANTTILA MSW, LICSW (NPI 1063886356) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (21882) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 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 and accepts Medicare assignment
Kristin Marie Anttila Msw, Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kristin Anttila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 148 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
ST LOUIS PARK, 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 Kristin Anttila's NPI number?
The NPI number for Kristin Anttila is 1063886356. It was assigned to this individual provider in the NPPES registry on November 24, 2015. The provider is also known as Kristin Blaine.
Where is Kristin Anttila located?
Kristin Anttila practices at 4027 County Road 25, Minneapolis, MN 55416. The listed phone number is (612) 925-6033.
What is Kristin Anttila's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kristin Anttila enrolled in Medicare?
Yes. Kristin Anttila is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristin Anttila's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Anttila reassigns Medicare benefits to Associated Clinic Of Psychology Inc (St Louis Park, 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 Kristin Anttila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristin Anttila accept?
Health plans from HealthPartners and Medica list Kristin Anttila 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 Kristin Anttila was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Kristin Marie Anttila, MSW, LICSW · NPI 1063886356
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since November 24, 2015.
## Identity
- **NPI:** 1063886356 (Entity type: Individual)
- **Enumerated:** November 24, 2015
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 21882 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4027 COUNTY ROAD 25, Minneapolis, MN 55416-2629
- **Phone:** (612) 925-6033 · **Fax:** (612) 925-8496
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Associated Clinic Of Psychology Inc (NPI 1588741292, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** July 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1063886356) · Data from the CMS NPPES public registry.