1. Home
  2. Directory
  3. Minnesota
  4. Edina
  5. Social Worker
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELANIE WALLER LICSW
NPI 1962098236
Social Worker - Clinical in Edina, MN

Active since December 21, 2020PECOS Enrolled
4600 77TH ST W STE 315, EDINA, MN 55435(763) 237-5490(612) 315-6001 Get Directions Write a Review

NPPES record last updated: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 3, 2026, Apr 20, 2026, Dec 21, 2020 (3 updates tracked since 2020).

About Melanie Waller Licsw NPPES

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

MELANIE WALLER LICSW (NPI 1962098236) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (24772) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962098236
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMELANIE WALLERCredential: LICSW
Location Address4600 77TH ST W STE 315Edina, MN 55435-4909
Mailing Address4600 77th St W Ste 370Edina, MN 55435-4912 · (612) 464-1400 · Fax (612) 315-6001
Phone(763) 237-5490
Fax(612) 315-6001
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 21, 2020
Last NPPES UpdateNovember 3, 20263 updates tracked since enumeration
NPPES CertifiedNovember 3, 2026
✔ NPI 1962098236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 24772
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4600 77TH ST W STE 315, Edina, MN 55435
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica, Sanford Health Plan.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

Melanie Waller Licsw 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.

PECOS PAC ID547769812
PECOS Enrollment IDI20250815000200
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 Reassignments

3

Medicare enrollment records show Melanie Waller reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mosaic Therapy Group
Same address
Multi-Specialty
4600 77TH ST W STE 315
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 5 clinicians in this Medicare group
NPI 1679167126 (612) 464-1400
Nystrom & Associates, Ltd
16 mi
Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group
NPI 1396750188 (651) 628-9566
Grow Healthcare Group PA
1,507 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Minnesota enrollment
  • 276 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 55435 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

DAVID ADAIR LPCC
Counselor (Professional)
4600 77TH ST W STE 315
EDINA, MN 55435
Hennepin County (612) 464-1402
KATHERINE JONES, NATUROPATHIC DOCTOR LLC
Counselor (Professional)
4600 77TH ST W STE 315
EDINA, MN 55435
Hennepin County (763) 202-3754
MOSAIC THERAPY GROUP
Clinic/Center (Multi-Specialty)
4600 77TH ST W STE 315
EDINA, MN 55435
Hennepin County (612) 464-1400
DR. KATHERINE JONES ND, MA, LPCC
Counselor (Professional)
4600 77TH ST W STE 315
EDINA, MN 55435
Hennepin County (763) 237-5490
DR. VICTORIA PETERSON-HILLEQUE LP
Psychologist (Clinical)
4600 77TH ST W STE 315
EDINA, MN 55435
Hennepin County (612) 464-1400

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 Melanie Waller's NPI number?

The NPI number for Melanie Waller is 1962098236. It was assigned to this individual provider in the NPPES registry on December 21, 2020.

Where is Melanie Waller located?

Melanie Waller practices at 4600 77th St W Ste 315, Edina, MN 55435. The listed phone number is (763) 237-5490.

What is Melanie Waller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Melanie Waller enrolled in Medicare?

Yes. Melanie Waller 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 organizations bill Medicare for Melanie Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melanie Waller reassigns Medicare benefits to 3 organizations: Mosaic Therapy Group (Edina, MN), Nystrom & Associates, Ltd (New Brighton, MN) and Grow Healthcare Group PA (Miami, FL). Each 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 Melanie Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Melanie Waller accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Melanie Waller 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 Melanie Waller was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.