Individual provider Active NPI

Kristy Ann Wolf, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Minneapolis, MN
National Provider Identifier
1689385932
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
9791 Issued in MN
Practice address
8085 Wayzata Blvd Ste 203
Minneapolis, MN 55426-1461
Phone
(612) 296-3800
Fax
(612) 259-7665
NPI assigned
Dec 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9791 MN Primary

Addresses

Primary practice location

8085 Wayzata Blvd Ste 203
Minneapolis, MN 55426-1461

Mailing address

11695 42ND St SE
Clear Lake, MN 55319-9813
Phone (651) 341-0299

Other practice location 1

3333 W Division St Ste 10
Saint Cloud, MN 56301-4557
Phone (320) 200-5650

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
I20250228001566 MN Practitioner - Nurse Practitioner 4385164748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Servants Heart Health and Wellness PLLC CurrentSince Feb 5, 2025 Accepting new patients
Psychotherapy & Healing Associates PastSince Nov 24, 2025 Accepting new patients

Locations

3333 W Division St
Ste 305
Saint Cloud, MN 56301

3333 W Division St
Ste 10
Saint Cloud, MN 56301
Phone (320) 200-5650

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1689385932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11695 42ND ST SE",
            "city": "CLEAR LAKE",
            "state": "MN",
            "postal_code": "553199813",
            "telephone_number": "651-341-0299",
            "fax_number": "320-238-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8085 WAYZATA BLVD STE 203",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554261461",
            "telephone_number": "612-296-3800",
            "fax_number": "612-259-7665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 W Division St Ste 10",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "MN",
            "postal_code": "563014557",
            "country_code": "US",
            "telephone_number": "320-200-5650",
            "fax_number": "320-238-7470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "KRISTY",
        "middle_name": "ANN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "9791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.