MICHELLE LEE GREYDANUS
NPI 1477248300
Counselor - Professional in Willmar, MN

Active since April 06, 2023PECOS EnrolledAccepts Medicare Assignment
201 28TH AVE SW, WILLMAR, MN 56201(320) 214-8558(320) 235-2733 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michelle Lee Greydanus NPPES

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

MICHELLE LEE GREYDANUS (NPI 1477248300) is an individual professional provider in Willmar, Minnesota and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477248300
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMICHELLE LEE GREYDANUS
Location Address201 28TH AVE SWWillmar, MN 56201-5241
Mailing AddressPo Box 337Raymond, MN 56282-0337 · (616) 401-6899
Fax(320) 235-2733
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 6, 2023
Last NPPES UpdateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1477248300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
201 28TH AVE SW, Willmar, MN 56201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle Lee Greydanus 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 ID9830669506
PECOS Enrollment IDI20260525000069
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michelle Greydanus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
Counselor
1905 10TH ST
Rock Valley, IA 51247
  • Reassigned Medicare billing, Iowa enrollment
  • Medicare enrollment name: Creative Living Center PC
  • 7 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.

Marriage & Family Therapist
201 28TH AVE SW
WILLMAR, MN 56201
Social Worker (Clinical)
201 28TH AVE SW
WILLMAR, MN 56201
Counselor (Professional)
201 28TH AVE SW
WILLMAR, MN 56201
Social Worker (Clinical)
201 28TH AVE SW
WILLMAR, MN 56201
Social Worker (Clinical)
201 28TH AVE SW
WILLMAR, MN 56201
Counselor (Professional)
201 28TH AVE SW
WILLMAR, MN 56201
Social Worker (Clinical)
201 28TH AVE SW
WILLMAR, MN 56201
Counselor (Addiction (Substance Use Disorder))
201 28TH AVE SW
WILLMAR, MN 56201

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 Michelle Greydanus's NPI number?

The NPI number for Michelle Greydanus is 1477248300. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Michelle Greydanus located?

Michelle Greydanus practices at 201 28th Ave SW, Willmar, MN 56201. The listed phone number is (320) 214-8558.

What is Michelle Greydanus's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michelle Greydanus enrolled in Medicare?

Yes. Michelle Greydanus is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michelle Greydanus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Greydanus reassigns Medicare benefits to 2 organizations: Nystrom & Associates, Ltd (New Brighton, MN) and Creative Living Center, P.C. (Rock Valley, IA). Each 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 Michelle Greydanus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Greydanus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and HealthPartners and 2 other insurers list Michelle Greydanus 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 Michelle Greydanus was last updated on April 7, 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.