ELI SEDO
NPI 1912566530
Nurse Practitioner - Psychiatric/Mental Health in Coon Rapids, MN
About Eli Sedo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELI SEDO (NPI 1912566530) is an individual psychiatric/mental health provider in Coon Rapids, Minnesota, licensed in Minnesota (10762) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 4
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
Eli Sedo 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 Eli Sedo 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Eli Sedo's NPI number?
The NPI number for Eli Sedo is 1912566530. It was assigned to this individual provider in the NPPES registry on June 7, 2019.
Where is Eli Sedo located?
Eli Sedo practices at 11660 Round Lake Blvd NW, Coon Rapids, MN 55433. The listed phone number is (763) 767-3350.
What is Eli Sedo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Eli Sedo enrolled in Medicare?
Yes. Eli Sedo 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 Eli Sedo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eli Sedo 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 Eli Sedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eli Sedo accept?
Health plans from HealthPartners list Eli Sedo 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 Eli Sedo was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Eli Sedo · NPI 1912566530
Psychiatric/Mental Health physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since June 7, 2019.
## Identity
- **NPI:** 1912566530 (Entity type: Individual)
- **Enumerated:** June 7, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 10762 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 11660 ROUND LAKE BLVD NW, Coon Rapids, MN 55433-2638
- **Phone:** (763) 767-3350 · **Fax:** (763) 767-0912
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **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:** University Of South Alabama College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** October 11, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1912566530) · Data from the CMS NPPES public registry.