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KRYSIA LEA WEIDELL
NPI 1568076040
Counselor - Professional in Minneapolis, MN

Active since September 02, 2020PECOS Enrolled
3231 1ST AVE S, MINNEAPOLIS, MN 55408(612) 373-3366 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Krysia Lea Weidell NPPES

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

KRYSIA LEA WEIDELL (NPI 1568076040) is an individual professional provider in Minneapolis, Minnesota, licensed in Minnesota (2572) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568076040
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKRYSIA LEA WEIDELL
Location Address3231 1ST AVE SMinneapolis, MN 55408-4407
Mailing Address740 E 24th StMinneapolis, MN 55404-3862
Phone(612) 373-3366
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1568076040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 2572
3231 1ST AVE S, Minneapolis, MN 55408
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krysia Lea Weidell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537630264
PECOS Enrollment IDI20260603004140
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 Reassignment

Medicare enrollment records show Krysia Weidell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minnesota Teen Challenge, Inc
Same address
Mental Health (Including Community Mental Health Center)
3231 1ST AVE S
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
  • 36 clinicians in this Medicare group
NPI 1831574797 (612) 373-3366

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 9

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

PAIGE JANSEN
Counselor (Addiction (Substance Use Disorder))
3231 1ST AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 238-6158
BRADLEY JAMES SCHOPF LPCC
Counselor (Professional)
3231 1ST AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 238-6215
MINNESOTA TEEN CHALLENGE, INC.
Substance Abuse Rehabilitation Facility
3231 1ST AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 373-3366
LORA MARIE CLEM LADC
Counselor
3231 1ST AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 238-6553
JENNIFER A SHEPHERD LPCC, LADC
Counselor (Professional)
3231 1ST AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 238-6525
TANYA MARIE-ROULEAU HOWARD LPCC
Counselor (Professional)
3231 1ST AVE S
MINNEAPOLIS, MN 55408
Hennepin County (763) 898-2783
MINNESOTA TEEN CHALLENGE, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
3231 1ST AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 373-3366
JENNA LEIGH JANSSEN
Counselor (Professional)
3231 1ST AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 238-6522

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 Krysia Weidell's NPI number?

The NPI number for Krysia Weidell is 1568076040. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Krysia Weidell located?

Krysia Weidell practices at 3231 1st Ave S, Minneapolis, MN 55408. The listed phone number is (612) 373-3366.

What is Krysia Weidell's specialty?

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

Is Krysia Weidell enrolled in Medicare?

Yes. Krysia Weidell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Krysia Weidell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krysia Weidell reassigns Medicare benefits to Minnesota Teen Challenge, Inc (Minneapolis, 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 Krysia Weidell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krysia Weidell accept?

Health plans from HealthPartners list Krysia Weidell 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 Krysia Weidell was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.