TAYLOR E FELLBAUM-WRIGHT MS, LPCC
NPI 1649811670
Counselor - Mental Health in Duluth, MN

Active since October 01, 2019PECOS EnrolledAccepts Medicare Assignment
1702 MILLER TRUNK HWY STE 2, DULUTH, MN 55811(218) 524-8889 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 26, 2024, Jun 7, 2022, Oct 1, 2019 (3 updates tracked since 2019).

About Taylor E Fellbaum-wright Ms, Lpcc NPPES

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

TAYLOR E FELLBAUM-WRIGHT MS, LPCC (NPI 1649811670) is an individual mental health provider in Duluth, Minnesota and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1649811670
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTAYLOR E FELLBAUM-WRIGHTCredential: MS, LPCC
Location Address1702 MILLER TRUNK HWY STE 2Duluth, MN 55811-4443
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 379-1756
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 1, 2019
Last NPPES UpdateDecember 26, 20243 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
✔ NPI 1649811670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1702 MILLER TRUNK HWY STE 2, Duluth, MN 55811

Other Names 1

Former Name (1)Taylor E Fellbaum

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

Taylor E Fellbaum-wright Ms, Lpcc 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 ID7719338185
PECOS Enrollment IDI20240110001694
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 Taylor Fellbaum-wright reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 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.

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 Taylor Fellbaum-wright's NPI number?

The NPI number for Taylor Fellbaum-wright is 1649811670. It was assigned to this individual provider in the NPPES registry on October 1, 2019. The provider is also known as Taylor E Fellbaum.

Where is Taylor Fellbaum-wright located?

Taylor Fellbaum-wright practices at 1702 Miller Trunk Hwy Ste 2, Duluth, MN 55811. The listed phone number is (218) 524-8889.

What is Taylor Fellbaum-wright's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Taylor Fellbaum-wright enrolled in Medicare?

Yes. Taylor Fellbaum-wright 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 Taylor Fellbaum-wright's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Taylor Fellbaum-wright reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, 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 Taylor Fellbaum-wright's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Taylor Fellbaum-wright accept?

Health plans from HealthPartners list Taylor Fellbaum-wright 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 Taylor Fellbaum-wright was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.