KJERSTIN RYDEEN LICSW
NPI 1689303661
Social Worker - Clinical in Coon Rapids, MN
About Kjerstin Rydeen Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KJERSTIN RYDEEN LICSW (NPI 1689303661) is an individual clinical provider in Coon Rapids, Minnesota, licensed in Minnesota (18139) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.
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 (PECOS)
Kjerstin Rydeen Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kjerstin Rydeen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coon Rapids, MN 55433
- Reassigned Medicare billing, Minnesota enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COON RAPIDS, MN 55433
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 Kjerstin Rydeen's NPI number?
The NPI number for Kjerstin Rydeen is 1689303661. It was assigned to this individual provider in the NPPES registry on June 6, 2022.
Where is Kjerstin Rydeen located?
Kjerstin Rydeen practices at 199 Coon Rapids Blvd NW Ste 208, Coon Rapids, MN 55433. The listed phone number is (612) 440-1899.
What is Kjerstin Rydeen's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kjerstin Rydeen enrolled in Medicare?
Yes. Kjerstin Rydeen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kjerstin Rydeen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kjerstin Rydeen reassigns Medicare benefits to Mandy Wannarka, Licsw Inc (Coon Rapids, 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 Kjerstin Rydeen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kjerstin Rydeen accept?
Health plans from HealthPartners list Kjerstin Rydeen 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 Kjerstin Rydeen was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kjerstin Rydeen, LICSW · NPI 1689303661
Clinical provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since June 6, 2022.
## Identity
- **NPI:** 1689303661 (Entity type: Individual)
- **Enumerated:** June 6, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 18139 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 199 COON RAPIDS BLVD NW STE 208, Coon Rapids, MN 55433-5860
- **Phone:** (612) 440-1899
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mandy Wannarka, Licsw Inc (NPI 1861038515, Coon Rapids, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1689303661) · Data from the CMS NPPES public registry.