Individual provider Active NPI

Nancy Gail Hawkins, PSY.D.

  • Clinical Psychologist
  • Inver Grove Heights, MN
National Provider Identifier
1568543197
Registry record updated Sep 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP0814 Issued in MN
Practice address
8840 Compton Dr
Inver Grove Heights, MN 55076-5300
Phone
(651) 402-7671
NPI assigned
Oct 18, 2006
Last updated
Sep 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
697552600MedicaidMN
61-08554OtherMNMEDICA
9H595HAOtherMNBLUE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040726000215 MN Practitioner - Clinical Psychologist 2567442940 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
LP0814MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Hawkins & Associates Clinical CurrentSince Mar 2, 2009 Accepting new patients
Shakopee Mdewakanton Sioux Community CurrentSince Apr 13, 2025 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.

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

Verify at the official NPI Registry.