NICHOLAS WEIDNER – Mental Health Counselor, NPI 1033627716

NICHOLAS WEIDNER is a healthcare provider. based in Rosemount, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 304455 (MN). The NPI Number for NICHOLAS WEIDNER is 1033627716

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
NICHOLAS WEIDNER
NPI
1033627716
Phone
Not provided
Address
13288 BRASS PKWY
Enumeration Date
17 January 2018
Last Update Date
25 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528981133
Graduation Year
2016 (10 years ago)
PAC ID
6800232893
Group Practice PAC ID
5890779847
Professional Enrollment ID
I20240313000900
Address ID
MN550448348LA7580XWXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for NICHOLAS WEIDNER

  • 13288, Brass Parkway, Dunmore 2nd, Rosemount, Dakota County, Minnesota, 55068, United States

    ROSEMOUNT, MN 550682772

    Phone:

    Type: Mailing

  • 7580, 160th Street West, Highview Heigh, Lakeville, Dakota County, Minnesota, 55044, United States

    LAKEVILLE, MN 550448348

    Phone: (952) 898-1133

    Type: Location

  • 860 BLUE GENTIAN RD STE 200

    EAGAN, MN 551211567

    Phone: (651) 315-5274

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240313000900IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55068)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5890779847View full group profile
NameSpecialtyState
Clinical Social WorkerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
-MN
Mental Health CounselorMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What unique ID ties claims to NICHOLAS WEIDNER?
NPI 1033627716 is assigned to NICHOLAS WEIDNER under the national enumeration system.
Is NICHOLAS WEIDNER currently active in the NPI registry?
CMS-published data lists NICHOLAS WEIDNER as an active registrant.
What kind of provider is NICHOLAS WEIDNER?
The page reflects Mental Health Counselor for NICHOLAS WEIDNER. Clinical services aligned with this taxonomy classification.
Does NICHOLAS WEIDNER practice in Minnesota?
You will see Rosemount, Minnesota on file for NICHOLAS WEIDNER alongside any extra practice locations.
Is NICHOLAS WEIDNER a real provider?
This page reflects official NPPES data for NPI 1033627716. Always confirm identity and privileges with the practice and licensing boards.

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