NICOLE WICKLUND MA, LMFT
NPI 1619337144
Marriage & Family Therapist in Edina, MN
About Nicole Wicklund Ma, Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE WICKLUND MA, LMFT (NPI 1619337144) is an individual marriage & family therapist in Edina, Minnesota, licensed in Minnesota (3221) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
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 and accepts Medicare assignment
Nicole Wicklund Ma, Lmft 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.
Medicare Billing Reassignment
Medicare enrollment records show Nicole Wicklund reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 127 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EDINA, MN 55435
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 Nicole Wicklund's NPI number?
The NPI number for Nicole Wicklund is 1619337144. It was assigned to this individual provider in the NPPES registry on February 25, 2016.
Where is Nicole Wicklund located?
Nicole Wicklund practices at 4510 77th St W, Edina, MN 55435. The listed phone number is (651) 434-9233.
What is Nicole Wicklund's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Nicole Wicklund enrolled in Medicare?
Yes. Nicole Wicklund 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 organization bills Medicare for Nicole Wicklund's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Wicklund reassigns Medicare benefits to St. Croix Psychiatric, LLC (Woodbury, 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 Nicole Wicklund's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Wicklund accept?
Health plans from HealthPartners list Nicole Wicklund 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 Nicole Wicklund was last updated on May 7, 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.
# Nicole Wicklund, MA, LMFT · NPI 1619337144
Marriage & Family Therapist provider in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since February 25, 2016.
## Identity
- **NPI:** 1619337144 (Entity type: Individual)
- **Enumerated:** February 25, 2016
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 3221 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4510 77TH ST W, Edina, MN 55435-5505
- **Phone:** (651) 434-9233
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** St. Croix Psychiatric, LLC (NPI 1881849586, Woodbury, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** May 7, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619337144) · Data from the CMS NPPES public registry.