Individual provider Active NPI

Elaine M Nesbit, MA LP

  • Psychologist
  • Northfield, MN
National Provider Identifier
1255409199
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP2406 Issued in MN
Practice address
220 Division St S
Northfield, MN 55057-2046
Phone
(507) 724-8353
Fax
(612) 416-0257
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X LP2406 MN Primary

Addresses

Primary practice location

220 Division St S
Northfield, MN 55057-2046

Mailing address

420 2ND St W
Northfield, MN 55057-1709
Phone (952) 426-5039

Other identifiers 5

IdentifierTypeStateIssuer
797221025213OtherPREFERRED ONE
997752000MedicaidMN
9H009NEOtherMNBCBS
HP20386OtherHEALTH PARTNERS
6219029OtherUBH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LP2406MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Healing and Resilience Psychologist CurrentSince Jun 23, 2025 Accepting new patients

Locations

220 Division St S
Northfield, MN 55057
Phone (507) 403-8908

Organizations & group practices 1

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1255409199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 2ND ST W",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571709",
            "telephone_number": "952-426-5039",
            "fax_number": "612-416-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 DIVISION ST S",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550572046",
            "telephone_number": "507-724-8353",
            "fax_number": "612-416-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NESBIT",
        "first_name": "ELAINE",
        "middle_name": "M",
        "credential": "MA LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP2406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "797221025213",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "997752000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9H009NE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP20386",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6219029",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.