Individual provider Active NPI

Julie Ann Wolter, CNS

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Jordan, MN
National Provider Identifier
1285830182
Registry record updated Apr 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
102 Issued in MN
Practice address
110 1St St E
Jordan, MN 55352-1502
Phone
(952) 856-0522
NPI assigned
Jun 26, 2007
Last updated
Apr 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 102 MN Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X R 153123-5 MN

Addresses

Primary practice location

110 1St St E
Jordan, MN 55352-1502

Mailing address

981 Woodview Cir
Carver, MN 55315-4519
Phone (651) 402-3648

Other practice location 1

1200 Chaska Creek Way Ste 200
Chaska, MN 55318-2749
Phone (952) 856-1046

Other practice location 2

6425 Nicollet Ave
Richfield, MN 55423-1675
Phone (612) 861-1675

Other names 1

  • Julie Ann Heckathorne Professional name

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090715000750 MN Practitioner - Certified Clinical Nurse Specialist (CNS) 9537211925 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infinite Health Collaborative, PAGroup PAC ID 1052225042, 815 clinicians
Youable Emotional Health ServicesGroup PAC ID 0840197828, 3 clinicians

Practice addresses (Care Compare)

110 1St St E
Jordan, MN 55352-1502
Phone (952) 856-0522

1200 Chaska Creek Way
Suite 200
Chaska, MN 55318-2749
Phone (952) 927-2960

6425 Nicollet Ave
Suite 210
Richfield, MN 55423-1668
Phone (612) 861-1675

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
95.08
Improvement activities
40
Cost
81.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science

State licenses

LicenseStateTypeSpecialty
R 153123-5MNMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Health Collaborative, PA CurrentSince Mar 1, 2022 Accepting new patients
Julie a Heckathorne Clinical Nurse Specialist PA Psychiatric/Mental Health, Adult CurrentSince Apr 13, 2025 Accepting new patients
Faithworks Counseling, LLC CurrentSince Apr 13, 2025 Accepting new patients
Youable Emotional Health Services CurrentSince Jul 19, 2010 Accepting new patients
Infinite Health Collaborative, PA CurrentSince Mar 1, 2022 Accepting new patients
Adefris & Toppin Women's Specialists,MDPC Past Accepting new patients
Regents of the University of Minnesota Past Accepting new patients
Family Support Services Inc. Past Accepting new patients
Regents of the University of Minnesota Past Accepting new patients
Associated Clinic of Psychology Inc PastSince Sep 1, 2015 Accepting new patients
Medicine Lake Consultation Group,PLLC PastSince Jun 1, 2012 Accepting new patients

Locations

1200 Chaska Creek Way
Ste 200
Chaska, MN 55318
Phone (952) 856-1046

110 1st St E
Jordan, MN 55352
Phone (952) 451-3660

920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155

6425 Nicollet Ave
Richfield, MN 55423
Phone (612) 861-1675

6425 Nicollet Ave
Ste 210
Richfield, MN 55423
Phone (612) 861-1675

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

3366 Oakdale Ave N
Ste 315
Robbinsdale, MN 55422
Phone (763) 520-7900

204 Lewis Ave S
Watertown, MN 55388
Phone (952) 955-1963

204 Lewis Ave S
Ste 210
Watertown, MN 55388

Organizations & group practices 11

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": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745712000000",
    "number": "1285830182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 WOODVIEW CIR",
            "city": "CARVER",
            "state": "MN",
            "postal_code": "553154519",
            "telephone_number": "651-402-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 1ST ST E",
            "city": "JORDAN",
            "state": "MN",
            "postal_code": "553521502",
            "telephone_number": "952-856-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Chaska Creek Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chaska",
            "state": "MN",
            "postal_code": "553182749",
            "country_code": "US",
            "telephone_number": "952-856-1046",
            "fax_number": "952-856-1049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6425 Nicollet Ave",
            "address_purpose": "LOCATION",
            "city": "Richfield",
            "state": "MN",
            "postal_code": "554231675",
            "country_code": "US",
            "telephone_number": "612-861-1675",
            "fax_number": "612-861-3446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2025-04-27",
        "certification_date": "2025-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MN",
            "license": "102",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MN",
            "license": "R 153123-5",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "HECKATHORNE",
            "middle_name": "ANN",
            "credential": "CNS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jordan, MN

Sources for this page

Verify at the official NPI Registry.