MR. STEVEN ROGER WIESE L.P.
NPI 1194941682
Psychologist in Roseville, MN

Active since April 17, 2007PECOS EnrolledAccepts Medicare Assignment
2780 SNELLING AVE N STE 104, ROSEVILLE, MN 55113(651) 633-5290(651) 633-5238 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Steven Roger Wiese L.p. NPPES

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

MR. STEVEN ROGER WIESE L.P. (NPI 1194941682) is an individual psychologist in Roseville, Minnesota, licensed in Minnesota (LP1426) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1194941682
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. STEVEN ROGER WIESECredential: L.P.
Location Address2780 SNELLING AVE N STE 104Roseville, MN 55113-7115
Mailing Address21211 Imperial Ave NForest Lake, MN 55025-9547 · (651) 464-1121 · Fax (651) 633-5238
Fax(651) 633-5238
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1194941682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in MN · LP1426
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2780 SNELLING AVE N STE 104, Roseville, MN 55113

Other Identifiers 1

Other04Q65WIMN · Bcbsm Non Par Provider Id

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

Mr. Steven Roger Wiese L.p. 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 ID9830610948
PECOS Enrollment IDI20250305002851
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 Reassignment

Medicare enrollment records show Steven Wiese reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
1935 COUNTY ROAD B2 W, SUITE #102
Saint Paul, MN 55113
  • Reassigned Medicare billing, Minnesota enrollment

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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
2780 SNELLING AVE N STE 104
ROSEVILLE, MN 55113

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 Steven Wiese's NPI number?

The NPI number for Steven Wiese is 1194941682. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Steven Wiese located?

Steven Wiese practices at 2780 Snelling Ave N Ste 104, Roseville, MN 55113. The listed phone number is (651) 633-5290.

What is Steven Wiese's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Steven Wiese enrolled in Medicare?

Yes. Steven Wiese 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 organization bills Medicare for Steven Wiese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Wiese reassigns Medicare benefits to Crown Imperial Press, LLC (Saint Paul, 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 Steven Wiese'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 Steven Wiese was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.