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JONATHAN WALTERS
NPI 1962212498
Social Worker in Edina, MN

Active since January 08, 2025PECOS Enrolled
6550 YORK AVE S STE 417, EDINA, MN 55435(952) 426-3034 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2025, Jan 8, 2025 (2 updates tracked since 2025).

About Jonathan Walters NPPES

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

JONATHAN WALTERS (NPI 1962212498) is an individual social worker in Edina, Minnesota, licensed in Minnesota (29041) and active in the NPI registry since January 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962212498
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameJONATHAN WALTERS
Location Address6550 YORK AVE S STE 417Edina, MN 55435-2336
Mailing Address2813 Virginia Ave SSt Louis Park, MN 55426-3033
Phone(952) 426-3034
Sole ProprietorYes
Enumeration DateJanuary 8, 2025
Last NPPES UpdateFebruary 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2025
✔ NPI 1962212498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 29041
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
6550 YORK AVE S STE 417, Edina, MN 55435
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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 (PECOS)

Jonathan Walters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jonathan Walters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Mullenbach, Phd, LP, Inc
Same address
Psychologist
6550 YORK AVE. S., SUITE 503
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 22 clinicians in this Medicare group
NPI 1801182837 (612) 801-3316

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 9

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

MAGGIE JO KATZENMAIER RAGONE LPCC
Counselor (Mental Health)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
AMANDA BARRIOS-EGAN
Counselor (Professional)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
ANNA GANTER
Social Worker (Clinical)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
MS. ROBIN MARANDA HICKS LPCC
Counselor (Professional)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
MRS. WEI LIU L.AC
Acupuncturist
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 926-4011
ASHLEY BAUCH LADC, LPCC
Counselor (Mental Health)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034
MEGAN RUANE LPCC, LADC
Counselor (Mental Health)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (262) 227-3811
JUSTIN DAVID JEFFREY
Social Worker (Clinical)
6550 YORK AVE S STE 417
EDINA, MN 55435
Hennepin County (952) 426-3034

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 Jonathan Walters's NPI number?

The NPI number for Jonathan Walters is 1962212498. It was assigned to this individual provider in the NPPES registry on January 8, 2025.

Where is Jonathan Walters located?

Jonathan Walters practices at 6550 York Ave S Ste 417, Edina, MN 55435. The listed phone number is (952) 426-3034.

What is Jonathan Walters's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Jonathan Walters enrolled in Medicare?

Yes. Jonathan Walters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jonathan Walters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Walters reassigns Medicare benefits to Mary Mullenbach, Phd, LP, Inc (Edina, 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 Jonathan Walters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Walters accept?

Health plans from HealthPartners and Sanford Health Plan list Jonathan Walters 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 Jonathan Walters was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.