Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699355339 Individual Practitioner Female Practitioner

Katie Michelle Nystrom , LICSW, MSW

Social Worker • Crosby, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Katie Nystrom, LICSW, MSW is a certified Social Worker practicing in Crosby, MN. With approximately 10 years of clinical experience since completing medical education in 2016, Katie Nystrom delivers high-quality medical care to the local community at 320 EAST MAIN ST.

Katie Nystrom is affiliated with Ametrine Mental Health Pllc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

320 East Main St

Crosby, MN 56441

Telephone 2185467000
Fax 2185464400
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Crosby, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
10 Yrs Matches City Avg
City Avg: 10.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Crosby, MN (1047 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nystrom (10 Years) 10 Yrs
Crosby Specialty Average (10.0 Years) 10.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-11-29
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MN 21668

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Hospital & Practice Group Affiliations

Ametrine Mental Health Pllc

194 Progress Way, Spicer, MN 562885000

Phone: 3209055971

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Matthew Fleming , PA-C

Physician Assistant

NPI 1003298381

Physician Assistant (Certified)

Dr. Camille Lang , MD

Family Medicine

NPI 1013165851

Doctor of Medicine (M.D.)

Jamie Withrow , RD, LD, CDE

Dietetic Technician, Registered

NPI 1013386457

Registered Dietitian, Licensed Dietitian, Certified Diabetes Educator

Adam English

Nurse Practitioner - Family

NPI 1013391515
Mitchell Mimbach , PA

Physician Assistant

NPI 1013528900

Physician Assistant

Dr. Rajesh Bhargava , MD

Internal Medicine

NPI 1013995802

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location November 29, 2021

Registered at 320 EAST MAIN ST, CROSBY, MN 56441 (Tel: 2185467000)

📍
Updated Business Mailing Address November 29, 2021

Registered at 320 EAST MAIN ST, CROSBY, MN 56441 (Tel: 2185467000)

👤
Provider Name / Credentials Updated November 29, 2021

Recorded as KATIE NYSTROM, LICSW, MSW

NPI Profile Active April 08, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2021

Registered at 301 BECKER AVE SW, WILLMAR, MN 562013302 (Tel: 3202354543)

📍
Updated Business Mailing Address April 08, 2021

Registered at 301 BECKER AVE SW, WILLMAR, MN 562013302 (Tel: 3202354543)

👤
Provider Name / Credentials Updated April 08, 2021

Recorded as KATIE NYSTROM, LICSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2021

Social Worker (License #21668 in MN)

🟢
Initial NPI Registration & Enumeration April 08, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699355339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2021
Last Update: November 29, 2021
Sole Proprietor: No

Mailing Address

320 East Main St

Crosby, MN 56441

Phone: 2185467000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.