CHRISTA LEE SUERKEN (PSY.D., L.P.) – Clinical Psychologist, NPI 1902975626

CHRISTA LEE SUERKEN (PSY.D., L.P.) is a healthcare provider. based in Wayzata, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D., L.P.. They hold a License No. LP4709 (MN). The NPI Number for CHRISTA LEE SUERKEN (PSY.D., L.P.) is 1902975626

Main info

Female
Sole Proprietor
22 Years Of Experience
Name
CHRISTA LEE SUERKEN (PSY.D., L.P.)
NPI
1902975626
Phone
(763) 843-5548
Address
600 TWELVE OAKS CENTER DR
Enumeration Date
7 November 2006
Last Update Date
5 December 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2392346333
Graduation Year
2004 (22 years ago)
PAC ID
0749376267
Group Practice PAC ID
1850614454
Professional Enrollment ID
I20250815002879
Address ID
FL341032739NA830XXDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for CHRISTA LEE SUERKEN (PSY.D., L.P.)

  • 600, Twelve Oaks Center Drive, Wayzata, Hennepin County, Minnesota, 55391, United States

    SUITE 216

    WAYZATA, MN 553914501

    Phone: (763) 843-5548

    Mailing address matches the actual address.

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: 2025-08-15

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
I20250815002879IClinical PsychologistFLTBD

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 55391)

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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: 1850614454View full group profile
NameSpecialtyState
Clinical Social WorkerFL
Mental Health CounselorFL
Mental Health CounselorFL
Clinical PsychologistFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Does CHRISTA LEE SUERKEN (PSY.D., L.P.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — CHRISTA LEE SUERKEN (PSY.D., L.P.) uses 1902975626.
Can I rely on CHRISTA LEE SUERKEN (PSY.D., L.P.) being an active provider?
As of the registry snapshot, CHRISTA LEE SUERKEN (PSY.D., L.P.) is marked active.
What taxonomy line describes CHRISTA LEE SUERKEN (PSY.D., L.P.)?
For research purposes, treat CHRISTA LEE SUERKEN (PSY.D., L.P.) as Clinical Psychologist in this dataset. Clinical services aligned with this taxonomy classification.
Where is CHRISTA LEE SUERKEN (PSY.D., L.P.) based?
CHRISTA LEE SUERKEN (PSY.D., L.P.) is tied to Wayzata, Minnesota in the data we show; additional addresses may exist on the full record.
Why does CHRISTA LEE SUERKEN (PSY.D., L.P.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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