MRS. KELLY ANN TYER LMFT
NPI 1215281597
Marriage & Family Therapist in Brooklyn Park, MN
About Mrs. Kelly Ann Tyer Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KELLY ANN TYER LMFT (NPI 1215281597) is an individual marriage & family therapist in Brooklyn Park, Minnesota, licensed in Minnesota (2586) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Mrs. Kelly Ann Tyer Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Tyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 127 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55443
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 Kelly Tyer's NPI number?
The NPI number for Kelly Tyer is 1215281597. It was assigned to this individual provider in the NPPES registry on November 7, 2012. The provider is also known as Ms. Kelly Ann Schmidt.
Where is Kelly Tyer located?
Kelly Tyer practices at 9400 Zane Ave N, Brooklyn Park, MN 55443. The listed phone number is (952) 826-8475.
What is Kelly Tyer's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Kelly Tyer enrolled in Medicare?
Yes. Kelly Tyer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Tyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Tyer reassigns Medicare benefits to St. Croix Psychiatric, LLC (Woodbury, 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 Kelly Tyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Tyer accept?
Health plans from HealthPartners list Kelly Tyer 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 Kelly Tyer was last updated on October 3, 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.
# Mrs. Kelly Ann Tyer, LMFT · NPI 1215281597
Marriage & Family Therapist provider in Brooklyn Park, Minnesota. Individual provider, active in the CMS NPPES registry since November 7, 2012.
## Identity
- **NPI:** 1215281597 (Entity type: Individual)
- **Enumerated:** November 7, 2012
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 2586 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 9400 ZANE AVE N, Brooklyn Park, MN 55443-1814
- **Phone:** (952) 826-8475
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** St. Croix Psychiatric, LLC (NPI 1881849586, Woodbury, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1215281597) · Data from the CMS NPPES public registry.