Active NPI
Nancy Gail Hawkins, PSY.D.
- Clinical Psychologist
- Inver Grove Heights, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- LP0814
- Practice address
- 8840 Compton Dr
Inver Grove Heights, MN 55076-5300 - Phone
- (651) 402-7671
- NPI assigned
- Oct 18, 2006
- Last updated
- Sep 15, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP0814 | MN | Primary |
Addresses
Primary practice location
8840 Compton Dr
Inver Grove Heights, MN 55076-5300
Mailing address
8840 Compton Dr
Inver Grove Heights, MN 55076-5300
Phone (651) 402-7671
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 697552600 | Medicaid | MN | |
| 61-08554 | Other | MN | MEDICA |
| 9H595HA | Other | MN | BLUE CROSS BLUE SHIELD |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8840 Compton Dr
Inver Grove Heights, MN 55076-5300
Phone (952) 929-9478
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP0814 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nancy Hawkins & Associates | Clinical | Current | Accepting new patients |
| Shakopee Mdewakanton Sioux Community | Current | Accepting new patients | |
| Jacquelyn K. Wiersma, PH. D., LP, PLLC | Clinical | Past | Accepting new patients |
Locations
2360 Sioux Trl NW
Prior Lake, MN 55372
Phone (952) 233-2886
2330 Sioux Trl NW
Prior Lake, MN 55372
Phone (952) 496-6148
4500 Park Glen Rd
Ste 360
St Louis Park, MN 55416
Phone (612) 870-8589
Organizations & group practices 3
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.
-
- Clinical Psychologist
- St Louis Park, MN
- NPI 1831339290
-
dba Shakopee Dakota Clinic
- Family Medicine Physician
- Prior Lake, MN
- NPI 1013933381
-
- Clinical Psychologist
- Minnetonka, MN
- NPI 1770696726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726358400000",
"number": "1568543197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 COMPTON DR",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550765300",
"telephone_number": "651-402-7671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8840 COMPTON DR",
"city": "INVER GROVE HEIGHTS",
"state": "MN",
"postal_code": "550765300",
"telephone_number": "651-402-7671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "NANCY",
"middle_name": "GAIL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2024-09-15",
"certification_date": "2024-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP0814",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "697552600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "61-08554",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "9H595HA",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Inver Grove Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.