KRYSTA VICTORIA MAZUR LICSW
NPI 1275194391
Social Worker - Clinical in Fridley, MN

Q: What is Krysta Mazur's NPI number?

The NPI number for Krysta Mazur is 1275194391. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Q: What is Krysta Mazur's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krysta Mazur was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment

7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432(763) 780-3036(763) 780-0784 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Krysta Victoria Mazur Licsw NPPES

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

KRYSTA VICTORIA MAZUR LICSW (NPI 1275194391) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (23468) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1275194391

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRYSTA VICTORIA MAZURCredential: LICSW

Location Address7954 UNIVERSITY AVE NEFridley, MN 55432-1860

Mailing Address4100 Berkshire Ln N Ste 250Plymouth, MN 55446-3813 · (612) 688-3701 · Fax (612) 223-8899

Phone(763) 780-3036

Fax(763) 780-0784

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 28, 2019

Last NPPES UpdateMay 6, 2024

NPPES CertifiedMay 6, 2024

✔ NPI 1275194391 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 · 23468

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.

7954 UNIVERSITY AVE NE, Fridley, MN 55432

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krysta Victoria Mazur Licsw 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 ID6800232232

PECOS Enrollment IDI20240307003935

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 55432 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.

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.

ANGELA MOUA

Counselor (Mental Health)