KYAN BODDEN
NPI 1194034686
Social Worker - Clinical in Bloomington, MN
About Kyan Bodden NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYAN BODDEN (NPI 1194034686) is an individual clinical provider in Bloomington, Minnesota, licensed in Minnesota (16457) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
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)
Kyan Bodden is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kyan Bodden reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, MN 55425
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 clinicians in this Medicare group
Eagan, MN 55121
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55408
- Reassigned Medicare billing, Minnesota enrollment
- 152 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 2
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 55425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BLOOMINGTON, MN 55425
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 Kyan Bodden's NPI number?
The NPI number for Kyan Bodden is 1194034686. It was assigned to this individual provider in the NPPES registry on September 30, 2010.
Where is Kyan Bodden located?
Kyan Bodden practices at 7920 Old Cedar Ave S, Bloomington, MN 55425. The listed phone number is (952) 428-1800.
What is Kyan Bodden's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kyan Bodden enrolled in Medicare?
Yes. Kyan Bodden is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kyan Bodden's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyan Bodden reassigns Medicare benefits to 4 organizations: Allina Health System (Bloomington, MN), Fairview Express Care (Eagan, MN), Fairview Health Services (Edina, MN) and Lyn-Lake Psychotherapy And Wellness Ltd. (Minneapolis, MN). 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 Kyan Bodden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kyan Bodden accept?
Health plans from HealthPartners list Kyan Bodden 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 Kyan Bodden was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Kyan Bodden · NPI 1194034686
Clinical provider in Bloomington, Minnesota. Individual provider, active in the CMS NPPES registry since September 30, 2010.
## Identity
- **NPI:** 1194034686 (Entity type: Individual)
- **Enumerated:** September 30, 2010
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 16457 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 7920 OLD CEDAR AVE S, Bloomington, MN 55425-1207
- **Phone:** (952) 428-1800 · **Fax:** (952) 428-1723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1013213891, Bloomington, MN); Fairview Express Care (NPI 1881141349, Eagan, MN); Fairview Health Services (NPI 1770663031, Edina, MN); Lyn-Lake Psychotherapy And Wellness Ltd. (NPI 1609355163, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1194034686) · Data from the CMS NPPES public registry.