WENDY MARIE ZITZLOFF ACNP AG
NPI 1164092359
Nurse Practitioner - Critical Care Medicine in Coon Rapids, MN

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
1350 107TH AVE NW, COON RAPIDS, MN 55433(320) 423-1081 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2024, Jun 29, 2021 (2 updates tracked since 2021).

About Wendy Marie Zitzloff Acnp Ag NPPES

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

WENDY MARIE ZITZLOFF ACNP AG (NPI 1164092359) is an individual critical care medicine provider in Coon Rapids, Minnesota, licensed in Minnesota (8547) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164092359
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameWENDY MARIE ZITZLOFFCredential: ACNP AG
Location Address1350 107TH AVE NWCoon Rapids, MN 55433-6333
Mailing Address1350 107th Ave NwCoon Rapids, MN 55433-6333 · (320) 423-1081
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 29, 2021
Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
✔ NPI 1164092359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License✔ Licensed in MN · 8547
1350 107TH AVE NW, Coon Rapids, MN 55433

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

Wendy Marie Zitzloff Acnp Ag 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.

PECOS PAC ID2668909474
PECOS Enrollment IDI20241218000856
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Wendy Zitzloff reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
2820 INGLEWOOD AVE S
St Louis Park, MN 55416
  • Reassigned Medicare billing, Minnesota enrollment
  • 50 clinicians in this Medicare group
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Minnesota enrollment
  • 22 clinicians in this Medicare group
Urgent Care
3742 W 2150 N STE 150
Lehi, UT 84048
  • Reassigned Medicare billing, Minnesota enrollment
  • 9 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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · Hennepin County
Emergency services Birthing friendly

Welia Health

Critical Access Hospitals · Mora, MN
OwnershipGovernment - Local
CMS Certification Number241367
Location301 South Highway 65Mora, MN 55051 · Kanabec County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Wendy Zitzloff's NPI number?

The NPI number for Wendy Zitzloff is 1164092359. It was assigned to this individual provider in the NPPES registry on June 29, 2021.

Where is Wendy Zitzloff located?

Wendy Zitzloff practices at 1350 107th Ave NW, Coon Rapids, MN 55433. The listed phone number is (320) 423-1081.

What is Wendy Zitzloff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Wendy Zitzloff enrolled in Medicare?

Yes. Wendy Zitzloff 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 organizations bill Medicare for Wendy Zitzloff's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wendy Zitzloff reassigns Medicare benefits to 3 organizations: Aeris Medical Group PLLC (St Louis Park, MN), Provider Partners Care Management LP (Columbia, MD) and Vitalcare Health Services PC (Lehi, UT). Each 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 Wendy Zitzloff's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Wendy Zitzloff affiliated with any hospitals?

According to CMS data, Wendy Zitzloff is affiliated with Park Nicollet Methodist Hospital, M Health Fairview University Of Mn and Welia Health.

When was this NPI record last updated?

The NPPES record for Wendy Zitzloff was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.