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KAROLYN SHELSTAD-OTTO
NPI 1679354856
Counselor - Mental Health in Minneapolis, MN

Active since October 12, 2023PECOS Enrolled
3033 EXCELSIOR BLVD STE 10, MINNEAPOLIS, MN 55416(651) 440-3176 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 28, 2025, Feb 12, 2025, Oct 12, 2023 (3 updates tracked since 2023).

About Karolyn Shelstad-otto NPPES

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

KAROLYN SHELSTAD-OTTO (NPI 1679354856) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (04822) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Little Falls, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1679354856
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKAROLYN SHELSTAD-OTTO
Location Address3033 EXCELSIOR BLVD STE 10Minneapolis, MN 55416-5147
Mailing Address4638 Bryant Ave NMinneapolis, MN 55412-1429 · (612) 803-5920
Phone(651) 440-3176
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 12, 2023
Last NPPES UpdateFebruary 28, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
✔ NPI 1679354856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 04822
3033 EXCELSIOR BLVD STE 10, Minneapolis, MN 55416
Open in Google Maps ↗

Secondary Practice Location 1

Location 116016 233rd StLittle Falls, MN 56345-5583 · Phone (320) 632-5524

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)

Karolyn Shelstad-otto is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163944356
PECOS Enrollment IDI20250317003592
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 Karolyn Shelstad-otto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Affinity Psychological Services, P.C.
5.8 mi
Mental Health
7401 METRO BLVD STE 250
Edina, MN 55439
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Affinity Psychological Services PC
  • 136 clinicians in this Medicare group
NPI 1245610856 (612) 268-5858
True Balance Ltd
93 mi
Multi-Specialty
16016 233RD ST
Little Falls, MN 56345
  • Reassigned Medicare billing, Minnesota enrollment
  • 15 clinicians in this Medicare group
NPI 1205025442 (320) 632-5524

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 2

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

MINNESOTA HEALTH OPERATIONS LLC
Clinic/Center (Adolescent and Children Mental Health)
3033 EXCELSIOR BLVD STE 10
MINNEAPOLIS, MN 55416
Hennepin County (714) 202-5166
GRACE PHYLLIS LIVERMORE LICSW
Social Worker (Clinical)
3033 EXCELSIOR BLVD STE 10
MINNEAPOLIS, MN 55416
Hennepin County (844) 324-7820

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 Karolyn Shelstad-otto's NPI number?

The NPI number for Karolyn Shelstad-otto is 1679354856. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Karolyn Shelstad-otto located?

Karolyn Shelstad-otto practices at 3033 Excelsior Blvd Ste 10, Minneapolis, MN 55416. The listed phone number is (651) 440-3176.

What is Karolyn Shelstad-otto's specialty?

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

Is Karolyn Shelstad-otto enrolled in Medicare?

Yes. Karolyn Shelstad-otto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Karolyn Shelstad-otto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karolyn Shelstad-otto reassigns Medicare benefits to 2 organizations: Affinity Psychological Services, P.C. (Edina, MN) and True Balance Ltd (Little Falls, MN). 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 Karolyn Shelstad-otto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karolyn Shelstad-otto accept?

Health plans from HealthPartners list Karolyn Shelstad-otto 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 Karolyn Shelstad-otto was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.