CARRIE RENEE NILES MA
NPI 1700350006
Counselor - Mental Health in Roseville, MN

Active since January 20, 2019PECOS Enrolled
1711 COUNTY ROAD B W, ROSEVILLE, MN 55113(651) 982-4792 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 23, 2026, Jan 20, 2019 (2 updates tracked since 2019).

About Carrie Renee Niles Ma NPPES

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

CARRIE RENEE NILES MA (NPI 1700350006) is an individual mental health provider in Roseville, Minnesota and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Forest Lake, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1700350006
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARRIE RENEE NILESCredential: MA
Location Address1711 COUNTY ROAD B WRoseville, MN 55113-4057
Mailing Address1068 Lake St SForest Lake, MN 55025-2639 · (651) 362-2008
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 20, 2019
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
✔ NPI 1700350006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1711 COUNTY ROAD B W, Roseville, MN 55113

Secondary Practice Location 1

Location 11068 Lake St SForest Lake, MN 55025-2639 · Phone (651) 362-2008

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)

Carrie Renee Niles Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810470077
PECOS Enrollment IDI20260316002189
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 Carrie Niles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1068 LAKE ST S, SUUITE 109
Forest Lake, MN 55025
  • Reassigned Medicare billing, Minnesota enrollment
  • 18 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 7

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

Physical Therapist
1711 COUNTY ROAD B W, SUITE 102 SOUTH
ROSEVILLE, MN 55113
Psychologist
1711 COUNTY ROAD B W, SUITE 205-S
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, 200S
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, SUITE 200 SOUTH
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, ROSEWOOD OFFICE PLAZA SUITE 210S
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, SUITE 210S
ROSEVILLE, MN 55113
Social Worker (Clinical)
1711 COUNTY ROAD B W, 100F
ROSEVILLE, MN 55113

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 Carrie Niles's NPI number?

The NPI number for Carrie Niles is 1700350006. It was assigned to this individual provider in the NPPES registry on January 20, 2019.

Where is Carrie Niles located?

Carrie Niles practices at 1711 County Road B W, Roseville, MN 55113. The listed phone number is (651) 982-4792.

What is Carrie Niles's specialty?

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

Is Carrie Niles enrolled in Medicare?

Yes. Carrie Niles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carrie Niles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carrie Niles reassigns Medicare benefits to Bridges And Pathways Counseling Services Inc. (Forest Lake, 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 Carrie Niles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carrie Niles accept?

Health plans from HealthPartners list Carrie Niles 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 Carrie Niles was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.