KRISTIE A INEICHEN (PSYD LP) – Clinical Psychologist, NPI 1871997544
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
667 CLINICAL PSYCHOLOGIST in WI
Provider Addresses for KRISTIE A INEICHEN (PSYD LP)
N5683 530TH ST
ELLSWORTH, WI 540115111
Phone: (763) 257-4655
Type: Mailing
2400 W 64TH ST
RICHFIELD, MN 554231001
Phone: (651) 424-4000
Type: Mailing
721 COMMERCE DRIVE
WOODBURY, MN 55125
Phone: (651) 434-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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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: 2024-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160127000004 | I | Clinical Psychologist | MN | TBD |
| I20240516001377 | I | Clinical Psychologist | WI | TBD |
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.
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 54011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | PA | |
| Clinical Social Worker | CT | |
| Clinical Social Worker | SC | |
| Mental Health Counselor | MS | |
| Mental Health Counselor | MS | |
| Mental Health Counselor | WA | |
| Mental Health Counselor | OR | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | HI | |
| Clinical Social Worker | PA |
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