MADI MIXDORF MSW
NPI 1861045965
Social Worker - Clinical in Coon Rapids, MN
About Madi Mixdorf Msw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MADI MIXDORF MSW (NPI 1861045965) is an individual clinical provider in Coon Rapids, Minnesota and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
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
Madi Mixdorf Msw 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 Madi Mixdorf 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.
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
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 Madi Mixdorf's NPI number?
The NPI number for Madi Mixdorf is 1861045965. It was assigned to this individual provider in the NPPES registry on July 18, 2019.
Where is Madi Mixdorf located?
Madi Mixdorf practices at 11660 Round Lake Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 767-3350.
What is Madi Mixdorf's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Madi Mixdorf enrolled in Medicare?
Yes. Madi Mixdorf 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 Madi Mixdorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madi Mixdorf 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 Madi Mixdorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Madi Mixdorf accept?
Health plans from HealthPartners and Sanford Health Plan list Madi Mixdorf 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 Madi Mixdorf was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Madi Mixdorf, MSW · NPI 1861045965
Clinical provider in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since July 18, 2019.
## Identity
- **NPI:** 1861045965 (Entity type: Individual)
- **Enumerated:** July 18, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 11660 ROUND LAKE BLVD NW, Coon Rapids, MN 55433
- **Phone:** (763) 767-3350
## 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 2019
## Record status
- **NPPES last updated:** July 18, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1861045965) · Data from the CMS NPPES public registry.