GLADYS NDIP – Psychiatric/Mental Health Nurse Practitioner, NPI 1245899285

GLADYS NDIP is a healthcare provider. based in St paul, Minnesota. specializing in NURSE PRACTITIONER. They hold a License No. 6677 (MN). The NPI Number for GLADYS NDIP is 1245899285

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
GLADYS NDIP
NPI
1245899285
Phone
(651) 645-3115
Address
Psych Recovery Inc
Enumeration Date
12 June 2019
Last Update Date
22 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6516453115
Graduation Year
2017 (9 years ago)
PAC ID
2264826304
Group Practice PAC ID
3779633912
Professional Enrollment ID
I20220307000308
Address ID
MN551141052SA2550XWXXX408
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for GLADYS NDIP

  • Psych Recovery Inc

    2550 University Ave W suite 229

    St Paul, MN 55114

    Phone: (651) 645-3115

    Type: Location

  • 16651 110TH AVE N

    OSSEO, MN 553693264

    Phone: (651) 226-7192

    Type: Mailing

  • 1801, Nicollet Avenue, Stevens Square - Loring Heights, Minneapolis, Hennepin County, Minnesota, 55403, United States

    MINNEAPOLIS, MN 554033791

    Phone: (612) 823-2947

    Type: Location

  • 1370 MENDOTA HEIGHTS RD

    MENDOTA HEIGHTS, MN 551201281

    Phone: (651) 313-8080

    Type: Mailing

  • 6040 EARLE BROWN DR STE 100

    BROOKLYN CENTER, MN 554302561

    Phone: (651) 313-8080

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $65.

Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.

Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Neuronetics, Inc. ($49).

Total Amount

$65

General + Research + Ownership

Payments

2

Total payment records

General Amount

$65

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-03-07

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
I20220307000308INurse PractitionerMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9531$0
99213Established patient office or other outpatient visit, 20-29 minutes1913$0
99205New patient office or other outpatient visit, 60-74 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 55114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779633912View full group profile
NameSpecialtyState
P S Y C H I A T R YMN
Clinical Social WorkerMN
Certified Clinical Nurse Specialist (Cns)MN
Clinical Social WorkerMN
Nurse PractitionerMN
Clinical Social WorkerMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Clinical Social WorkerMN
Nurse PractitionerMI

Reviews

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Frequently asked questions

Is GLADYS NDIP listed with a National Provider Identifier?
Yes — GLADYS NDIP has NPI 1245899285 on file in the registry.
Is there an active status for GLADYS NDIP?
For scheduling context, GLADYS NDIP is shown as active in the registry.
What kind of doctor is GLADYS NDIP?
GLADYS NDIP is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Minnesota is GLADYS NDIP registered?
Use St Paul, Minnesota as the headline location for GLADYS NDIP here.
When was this NPI issued?
Enumeration for GLADYS NDIP is noted as June 12, 2019 where the registry provides it.

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