MRS. JULIE ANNE DE WILDE M.A., LPCC
NPI 1083168314
Counselor - Professional in New Brighton, MN
About Mrs. Julie Anne De Wilde M.a., Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. JULIE ANNE DE WILDE M.A., LPCC (NPI 1083168314) is an individual professional provider in New Brighton, Minnesota, licensed in Minnesota (CC01711) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
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)
Mrs. Julie Anne De Wilde M.a., Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Julie De Wilde reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stillwater, MN 55082
- Reassigned Medicare billing, Minnesota enrollment
- 24 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.
NEW BRIGHTON, MN 55112
NEW BRIGHTON, MN 55112
NEW BRIGHTON, MN 55112
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 Julie De Wilde's NPI number?
The NPI number for Julie De Wilde is 1083168314. It was assigned to this individual provider in the NPPES registry on August 3, 2016.
Where is Julie De Wilde located?
Julie De Wilde practices at 1900 Silver Lake Rd NW, New Brighton, MN 55112. The listed phone number is (651) 628-9566.
What is Julie De Wilde's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Julie De Wilde enrolled in Medicare?
Yes. Julie De Wilde is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Julie De Wilde's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Julie De Wilde reassigns Medicare benefits to Rush Inc (Stillwater, 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 Julie De Wilde's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Julie De Wilde accept?
Health plans from HealthPartners list Julie De Wilde 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 Julie De Wilde was last updated on January 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mrs. Julie Anne De Wilde, M.A., LPCC · NPI 1083168314
Professional provider in New Brighton, Minnesota. Individual provider, active in the CMS NPPES registry since August 3, 2016.
## Identity
- **NPI:** 1083168314 (Entity type: Individual)
- **Enumerated:** August 3, 2016
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** CC01711 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 SILVER LAKE RD NW, New Brighton, MN 55112-1786
- **Phone:** (651) 628-9566
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Rush Inc (NPI 1801942040, Stillwater, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** January 19, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1083168314) · Data from the CMS NPPES public registry.