KRISTINA VANDYKE LICSW
NPI 1245657816
Social Worker - Clinical in Eagan, MN

Active since March 21, 2014PECOS Enrolled
83.53/100
CMS Quality Rating
1110 YANKEE DOODLE RD, EAGAN, MN 55121(651) 454-3970(651) 241-0059 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2023, Jan 8, 2018 (2 updates tracked since 2018).

About Kristina Vandyke Licsw NPPES

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

KRISTINA VANDYKE LICSW (NPI 1245657816) is an individual clinical provider in Eagan, Minnesota, licensed in Minnesota (21099) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245657816
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTINA VANDYKECredential: LICSW
Location Address1110 YANKEE DOODLE RDEagan, MN 55121-2092
Mailing Address1110 Yankee Doodle RdEagan, MN 55121-2092 · (651) 454-3970 · Fax (651) 241-0059
Fax(651) 241-0059
Sole ProprietorNo
Enumeration DateMarch 21, 2014
Last NPPES UpdateJanuary 5, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2023
NPI 1245657816 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 · 21099
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.
1110 YANKEE DOODLE RD, Eagan, MN 55121

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kristina Vandyke Licsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55121 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.

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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

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.

Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Family Medicine
1110 YANKEE DOODLE RD
EAGAN, MN 55121
Pediatrics
1110 YANKEE DOODLE RD
EAGAN, MN 55121

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 Kristina Vandyke's NPI number?

The NPI number for Kristina Vandyke is 1245657816. It was assigned to this individual provider in the NPPES registry on March 21, 2014.

Where is Kristina Vandyke located?

Kristina Vandyke practices at 1110 Yankee Doodle Rd, Eagan, MN 55121. The listed phone number is (651) 454-3970.

What is Kristina Vandyke's specialty?

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

Is Kristina Vandyke enrolled in Medicare?

Yes. Kristina Vandyke is registered in the Medicare PECOS enrollment system.

What insurance does Kristina Vandyke accept?

Health plans from HealthPartners list Kristina Vandyke 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 Kristina Vandyke was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.