NATALIE ELISE WIMMER – Mental Health Counselor, NPI 1417603671

NATALIE ELISE WIMMER is a healthcare provider. based in Saint paul, Minnesota. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for NATALIE ELISE WIMMER is 1417603671

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NATALIE ELISE WIMMER
NPI
1417603671
Phone
Not provided
Address
1107 SUBURBAN AVE
Enumeration Date
25 February 2022
Last Update Date
10 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8003365973
Graduation Year
2022 (4 years ago)
PAC ID
9234670787
Group Practice PAC ID
1355500752
Professional Enrollment ID
I20240924002277
Address ID
MN551163837SA2221XPKWY301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for NATALIE ELISE WIMMER

  • 1107 SUBURBAN AVE

    SAINT PAUL, MN 551066423

    Phone:

    Type: Mailing

  • 1155 NORTHLAND DR

    MENDOTA HEIGHTS, MN 551201288

    Phone: (612) 223-8898

    Type: Location

  • 2272 BENSON AVE APT D

    SAINT PAUL, MN 551163162

    Phone: (507) 358-8139

    Type: Mailing

  • 2221 FORD PKWY STE 350

    SAINT PAUL, MN 551163837

    Phone: (800) 336-5973

    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: 2024-09-24

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
I20240924002277IMental 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 55106)

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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: 1355500752View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
-MN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

Is there an official ID for NATALIE ELISE WIMMER in U.S. healthcare records?
The official identifier for NATALIE ELISE WIMMER is NPI 1417603671.
Is there an active status for NATALIE ELISE WIMMER?
For scheduling context, NATALIE ELISE WIMMER is shown as active in the registry.
What kind of doctor is NATALIE ELISE WIMMER?
NATALIE ELISE WIMMER is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NATALIE ELISE WIMMER?
Travel planning: use Saint Paul, Minnesota as the reference point for NATALIE ELISE WIMMER, then confirm.
Does NATALIE ELISE WIMMER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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