Nystrom & Associates, Ltd
NPI 1396750188ActiveOrganization· Social Worker, Clinical· New Brighton, MN
Social Worker, Clinical in New Brighton, Minnesota, registered in NPPES in July 2006. The authorized official on file is Ann Eiden, Vp Of Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396750188 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 30, 2006 |
| Last updated in NPPES | Oct 21, 2025 |
| Certified by provider | Oct 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 06197 | MN |
| Marriage & Family Therapist | 106H00000X | 0145 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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