Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE E WILEY LISW
NPI 1386811552
Social Worker - Clinical in Saint Paul, MN

Q: What is Nicole Wiley's NPI number?

The NPI number for Nicole Wiley is 1386811552. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Q: What is Nicole Wiley'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 Nicole Wiley was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 May 15, 2008PECOS Enrolled

2270 FORD PKWY STE 106, SAINT PAUL, MN 55116(612) 915-0049(620) 926-1450 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 22, 2026, Sep 17, 2026 (2 updates tracked since 2026).

On this page

About Nicole E Wiley Lisw NPPES

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

NICOLE E WILEY LISW (NPI 1386811552) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (29269) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brecksville.

NPPES Registry Identity

NPI1386811552

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameNICOLE E WILEYCredential: LISW

Location Address2270 FORD PKWY STE 106Saint Paul, MN 55116-3412

Mailing Address1730 Graham Ave # B151Saint Paul, MN 55116-3090 · (702) 237-7739

Phone(612) 915-0049

Fax(620) 926-1450

Sole ProprietorYes

Enumeration DateMay 15, 2008

Last NPPES UpdateSeptember 22, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1386811552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in MN · 29269✔ Licensed in OH · I.1000113

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.

2270 FORD PKWY STE 106, Saint Paul, MN 55116

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Secondary Practice Location 1

Location 110000 Brecksville RdBrecksville, OH 44141-3204 · Phone (440) 526-3030 ext. 7957

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 (PECOS)

Nicole E Wiley Lisw 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 55116 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 9

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

JONATHAN ERIC WAGNER LPCC

Counselor (Professional)