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DR. KRISTINE ELIZABETH WIESE M.D.
NPI 1073535977
Psychiatry & Neurology - Forensic Psychiatry in Roseville, MN

Active since July 23, 2006PECOS Enrolled
2277 HIGHWAY 36 W, ROSEVILLE, MN 55113(612) 255-0628(612) 255-0647 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kristine Elizabeth Wiese M.d. NPPES

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

DR. KRISTINE ELIZABETH WIESE M.D. (NPI 1073535977) is an individual forensic psychiatry provider in Roseville, Minnesota, licensed in Minnesota (39360) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073535977
Entity TypeIndividualFemale
Primary Taxonomy2084F0202X
Provider Legal NameDR. KRISTINE ELIZABETH WIESECredential: M.D.
Location Address2277 HIGHWAY 36 WRoseville, MN 55113-3804
Mailing AddressPo Box 2182Burnsville, MN 55337-0008 · (612) 670-1321
Phone(612) 255-0628
Fax(612) 255-0647
Sole ProprietorYes
Enumeration DateJuly 23, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1073535977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084F0202X
License✔ Licensed in MN · 39360
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
2277 HIGHWAY 36 W, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford 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)

Dr. Kristine Elizabeth Wiese M.d. 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 5

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

CIMENA GORDON LICSW
Social Worker (Clinical)
2277 HIGHWAY 36 W, SUITE 310
ROSEVILLE, MN 55113
Ramsey County (651) 224-2172
KAROL JENSEN-SCHNEIDER
Social Worker (Clinical)
2277 HIGHWAY 36 W, SUITE 310
ROSEVILLE, MN 55113
Ramsey County (651) 728-3370
MRS. LAURA COSIO LMFT
Marriage & Family Therapist
2277 HIGHWAY 36 W, SUITE 310
ROSEVILLE, MN 55113
Ramsey County (612) 331-4429
JUDITH MARIE ELLERBUSCH NP
Specialist
2277 HIGHWAY 36 W
ROSEVILLE, MN 55113
Ramsey County (651) 631-0065
NICOLLETTE ERICKSON MA, LPCC, LADC
Counselor (Professional)
2277 HIGHWAY 36 W, SUITE 310
ROSEVILLE, MN 55113
Ramsey County (612) 819-0378

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 Kristine Wiese's NPI number?

The NPI number for Kristine Wiese is 1073535977. It was assigned to this individual provider in the NPPES registry on July 23, 2006.

Where is Kristine Wiese located?

Kristine Wiese practices at 2277 Highway 36 W, Roseville, MN 55113. The listed phone number is (612) 255-0628.

What is Kristine Wiese's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

Is Kristine Wiese enrolled in Medicare?

Yes. Kristine Wiese is registered in the Medicare PECOS enrollment system.

What insurance does Kristine Wiese accept?

Health plans from Sanford Health Plan list Kristine Wiese 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 Kristine Wiese was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.