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WYATT THOMAS
NPI 1194488080
Social Worker - Clinical in Roseville, MN

Active since October 18, 2021PECOS Enrolled
1700 HIGHWAY 36 W STE 130, ROSEVILLE, MN 55113(952) 460-9003 Get Directions Write a Review

NPPES record last updated: October 18, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wyatt Thomas NPPES

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

WYATT THOMAS (NPI 1194488080) is an individual clinical provider in Roseville, Minnesota, licensed in Minnesota (28233) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194488080
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameWYATT THOMAS
Location Address1700 HIGHWAY 36 W STE 130Roseville, MN 55113-4054
Mailing Address1700 Highway 36 W Ste 130Roseville, MN 55113-4054
Phone(952) 460-9003
Sole ProprietorNo
Enumeration DateOctober 18, 2021
NPPES CertifiedOctober 18, 2021
✔ NPI 1194488080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 28233
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1700 HIGHWAY 36 W STE 130, Roseville, MN 55113
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wyatt Thomas 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Wyatt Thomas reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Systems PC
12 mi
Psychologist
7200 FRANCE AVE, STE 327
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 49 clinicians in this Medicare group
NPI 1497835656 (952) 835-2002
Affinity Psychological Services, P.C.
13 mi
Mental Health
7401 METRO BLVD STE 250
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Affinity Psychological Services PC
  • 136 clinicians in this Medicare group
NPI 1245610856 (612) 268-5858

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55113 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 Wyatt Thomas's NPI number?

The NPI number for Wyatt Thomas is 1194488080. It was assigned to this individual provider in the NPPES registry on October 18, 2021.

Where is Wyatt Thomas located?

Wyatt Thomas practices at 1700 Highway 36 W Ste 130, Roseville, MN 55113. The listed phone number is (952) 460-9003.

What is Wyatt Thomas's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Wyatt Thomas enrolled in Medicare?

Yes. Wyatt Thomas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Wyatt Thomas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wyatt Thomas reassigns Medicare benefits to 2 organizations: Mental Health Systems PC (Edina, MN) and Affinity Psychological Services, P.C. (Edina, 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 Wyatt Thomas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wyatt Thomas accept?

Health plans from HealthPartners list Wyatt Thomas 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 Wyatt Thomas was last updated on October 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.