DR. GAIL HEGEMAN (PH D) – Clinical Psychologist, NPI 1114910049

DR. GAIL HEGEMAN (PH D) is a healthcare provider. based in Roseville, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH D. They hold a License No. LP2464 (MN). The NPI Number for DR. GAIL HEGEMAN (PH D) is 1114910049

Main info

Female
Sole Proprietor
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. GAIL HEGEMAN (PH D)
NPI
1114910049
Phone
(651) 635-0909
Address
1711 COUNTY ROAD B WEST
Enumeration Date
25 August 2005
Last Update Date
13 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516350909
Graduation Year
1977 (49 years ago)
PAC ID
4981644960
Professional Enrollment ID
I20050510000132
Address ID
MN551134100SA1711XWXXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. GAIL HEGEMAN (PH D)

  • 1711 COUNTY ROAD B WEST

    SUITE 144S

    ROSEVILLE, MN 551134100

    Phone: (651) 635-0909

    Fax: (612) 822-8669

    Type: Mailing

  • Hamline Avenue North, Hamline-Midway, Saint Paul, Ramsey County, Minnesota, 55104, United States

    SUITE 520

    SAINT PAUL, MN 551135009

    Phone: (651) 635-0909

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-05-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050510000132IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55113)

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Reviews

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Frequently asked questions

Does DR. GAIL HEGEMAN (PH D) have a public NPI I can cite?
Public records show DR. GAIL HEGEMAN (PH D) under NPI 1114910049.
Should I treat DR. GAIL HEGEMAN (PH D) as an active provider?
Patients and plans typically see DR. GAIL HEGEMAN (PH D) as active in the national extract.
What type of care does DR. GAIL HEGEMAN (PH D) provide?
DR. GAIL HEGEMAN (PH D)'s profile centers on Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. GAIL HEGEMAN (PH D) in Roseville, Minnesota?
For routing, start with Roseville, Minnesota for DR. GAIL HEGEMAN (PH D), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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