KRISTINA VANDYKE LICSW
NPI 1245657816
Social Worker - Clinical in Eagan, MN
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
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)
Kristina Vandyke Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristina Vandyke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Eagan, MN 55121
- Reassigned Medicare billing, Minnesota enrollment
- 2,609 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.
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.
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.
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.
Which organization bills Medicare for Kristina Vandyke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristina Vandyke reassigns Medicare benefits to Allina Health System (Eagan, 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 Kristina Vandyke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kristina Vandyke, LICSW · NPI 1245657816
Clinical provider in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since March 21, 2014.
## Identity
- **NPI:** 1245657816 (Entity type: Individual)
- **Enumerated:** March 21, 2014
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 21099 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1110 YANKEE DOODLE RD, Eagan, MN 55121-2092
- **Phone:** (651) 454-3970 · **Fax:** (651) 241-0059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Allina Health System (NPI 1780980599, Eagan, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1245657816) · Data from the CMS NPPES public registry.