MYA GIETZEN
NPI 1992561625
Social Worker - Clinical in Moorhead, MN
About Mya Gietzen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MYA GIETZEN (NPI 1992561625) is an individual clinical provider in Moorhead, Minnesota, licensed in Minnesota (35469) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fargo, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mya Gietzen 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 Mya Gietzen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58102
- Reassigned Medicare billing, North Dakota and Minnesota enrollments
- Also billed through NPI 1184917924 (Minnesota)
- 1,464 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 56560 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.
MOORHEAD, MN 56560
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 Mya Gietzen's NPI number?
The NPI number for Mya Gietzen is 1992561625. It was assigned to this individual provider in the NPPES registry on February 21, 2024.
Where is Mya Gietzen located?
Mya Gietzen practices at 4000 28th Ave S, Moorhead, MN 56560. The listed phone number is (701) 234-3200.
What is Mya Gietzen's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mya Gietzen enrolled in Medicare?
Yes. Mya Gietzen 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 Mya Gietzen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mya Gietzen reassigns Medicare benefits to Sanford Medical Center Fargo (Fargo, ND). 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 Mya Gietzen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mya Gietzen accept?
Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Mya Gietzen 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 Mya Gietzen was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mya Gietzen · NPI 1992561625
Clinical provider in Moorhead, Minnesota. Individual provider, active in the CMS NPPES registry since February 21, 2024.
## Identity
- **NPI:** 1992561625 (Entity type: Individual)
- **Enumerated:** February 21, 2024
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 35469 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4000 28TH AVE S, Moorhead, MN 56560-7926
- **Phone:** (701) 234-3200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Sanford Medical Center Fargo (NPI 1952323974, Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1992561625) · Data from the CMS NPPES public registry.