NPIMap

Organization Active NPI

In House Senior Services, LLC

  • Primary Podiatric Medicine Podiatrist
  • Richfield, MN
National Provider Identifier
1083962294
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
631 Issued in MN
Legal business name
IN HOUSE SENIOR SERVICES, LLC
Practice address
6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673
Phone
(612) 788-8778
Fax
(612) 869-3473
NPI assigned
Aug 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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

Authorized official

Name
Stephanie Lee Weckwerth
Title
RCM Manager
Phone
(612) 200-8029

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X 631 MN Primary
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X

Addresses

Primary practice location

6625 Lyndale Ave S Ste 105
Richfield, MN 55423-2673

Mailing address

6625 Lyndale Ave S Ste 300
Richfield, MN 55423-2491
Phone (612) 243-8999

Other practice location 1

674 290th St
Wilson, WI 54027-2452
Phone (612) 243-8999

Other identifiers 3

IdentifierTypeStateIssuer
1083962294MedicaidWI
1083962294MedicaidMN
C09267OtherMNMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130123000456 MN Part B Supplier - Clinic/Group Practice 7113170267 Receives reassigned benefits from 26 practitioners
Practice locations: Wayzata, MN; Silver Lake, MN; Shakopee, MN; Saint Paul, MN; Rogers, MN; Robbinsdale, MN; Richfield, MN; New Hope, MN…
O20200805001116 WI Part B Supplier - Clinic/Group Practice 7113170267 Receives reassigned benefits from 3 practitioners
Practice locations: River Falls, WI; Superior, WI; Wilson, WI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2197038In House Senior Services, LLC6625 Lyndale Ave S Ste #300, Richfield, MN 55423Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

6625 Lyndale Ave S
Ste 305
Richfield, MN 55423
Phone (612) 243-8999

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770681600000",
    "number": "1083962294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 300",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232491",
            "telephone_number": "612-243-8999",
            "fax_number": "612-869-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 LYNDALE AVE S STE 105",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232673",
            "telephone_number": "612-788-8778",
            "fax_number": "612-869-3473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "674 290th St",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "WI",
            "postal_code": "540272452",
            "country_code": "US",
            "telephone_number": "612-243-8999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IN HOUSE SENIOR SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A",
        "authorized_official_last_name": "WECKWERTH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "RCM MANAGER",
        "authorized_official_telephone_number": "612-200-8029"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "MN",
            "license": "631",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083962294",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083962294",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C09267",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.