COREY JOHN ENNIS
NPI 1851281794
Counselor - Mental Health in Woodbury, MN
About Corey John Ennis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COREY JOHN ENNIS (NPI 1851281794) is an individual mental health provider in Woodbury, Minnesota and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
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
Corey John Ennis 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 Corey Ennis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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.
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.
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 Corey Ennis's NPI number?
The NPI number for Corey Ennis is 1851281794. It was assigned to this individual provider in the NPPES registry on July 3, 2025.
Where is Corey Ennis located?
Corey Ennis practices at 652 Bielenberg Dr Ste 103, Woodbury, MN 55125. The listed phone number is (612) 430-9181.
What is Corey Ennis's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Corey Ennis enrolled in Medicare?
Yes. Corey Ennis 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 Corey Ennis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Corey Ennis 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 Corey Ennis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Corey Ennis accept?
Health plans from HealthPartners and Medica list Corey Ennis 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 Corey Ennis was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Corey John Ennis · NPI 1851281794
Mental Health provider in Woodbury, Minnesota. Individual provider, active in the CMS NPPES registry since July 3, 2025.
## Identity
- **NPI:** 1851281794 (Entity type: Individual)
- **Enumerated:** July 3, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 652 BIELENBERG DR STE 103, Woodbury, MN 55125-4419
- **Phone:** (612) 430-9181
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Nystrom & Associates, Ltd (NPI 1396750188, New Brighton, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1851281794) · Data from the CMS NPPES public registry.