KIRSTEN ADANK MA
NPI 1124785936
Counselor - Professional in Crystal, MN
About Kirsten Adank Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRSTEN ADANK MA (NPI 1124785936) is an individual professional provider in Crystal, Minnesota and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kirsten Adank Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kirsten Adank reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hope, MN 55428
- Reassigned Medicare billing, Minnesota enrollment
- 8 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CRYSTAL, MN 55429
CRYSTAL, MN 55429
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 Kirsten Adank's NPI number?
The NPI number for Kirsten Adank is 1124785936. It was assigned to this individual provider in the NPPES registry on November 29, 2021.
Where is Kirsten Adank located?
Kirsten Adank practices at 5700 Bottineau Blvd Ste 210, Crystal, MN 55429. The listed phone number is (763) 330-2774.
What is Kirsten Adank's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kirsten Adank enrolled in Medicare?
Yes. Kirsten Adank is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kirsten Adank's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirsten Adank reassigns Medicare benefits to Lineage Counseling (New Hope, 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 Kirsten Adank's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kirsten Adank was last updated on February 25, 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.
# Kirsten Adank, MA · NPI 1124785936
Professional provider in Crystal, Minnesota. Individual provider, active in the CMS NPPES registry since November 29, 2021.
## Identity
- **NPI:** 1124785936 (Entity type: Individual)
- **Enumerated:** November 29, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 5700 BOTTINEAU BLVD STE 210, Crystal, MN 55429-3184
- **Phone:** (763) 330-2774
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lineage Counseling (NPI 1669071528, New Hope, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124785936) · Data from the CMS NPPES public registry.