Individual provider Active NPI

Krista Yucuis, MS

  • Psychologist
  • Minneapolis, MN
National Provider Identifier
1083192223
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
725 8TH Ave SE
Minneapolis, MN 55414-1364
Phone
(507) 459-1726
NPI assigned
Jul 31, 2018
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

725 8TH Ave SE
Minneapolis, MN 55414-1364

Mailing address

725 8TH Ave SE
Minneapolis, MN 55414-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220610002137 MN Practitioner - Clinical Psychologist 7113305624 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mentallurgy PLLCGroup PAC ID 2567835200, 5 clinicians

Practice addresses (Care Compare)

8500 Normandale Lake Blvd
Suite 350
Bloomington, MN 55437-3805
Phone (612) 524-9619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Mentallurgy, PLLC CurrentSince Jan 1, 2023 Accepting new patients
Healtheast Medical Research Institute Psychologist CurrentSince Jul 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Apr 1, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince Jan 1, 2023 Accepting new patients
Fairview Express Care CurrentSince Apr 1, 2022 Accepting new patients

Locations

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

8500 Normandale Lake Blvd
Ste 350
Minneapolis, MN 55437
Phone (612) 405-9412

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2700 Snelling Ave N
Ste 400
Saint Paul, MN 55113
Phone (651) 697-5804

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1083192223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 8TH AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554141364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 8TH AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554141364",
            "telephone_number": "507-459-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YUCUIS",
        "first_name": "KRISTA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.