DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) – Psychologist, NPI 1457673469

DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) is a healthcare provider. based in Bloomington, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD, LP,. They hold a License No. LP5606 (MN). The NPI Number for DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) is 1457673469

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. JILLIAN NICOLE SIMPSON (PSYD, LP,)
NPI
1457673469
Phone
(952) 541-2500
Address
8170 33RD AVE S
Enumeration Date
17 February 2010
Last Update Date
20 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7634007828
Graduation Year
2011 (15 years ago)
PAC ID
3274850805
Group Practice PAC ID
2567685647
Professional Enrollment ID
I20240628003927
Address ID
MN554464551PL18205NXXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. JILLIAN NICOLE SIMPSON (PSYD, LP,)

  • Healthpartners, 8170, 33rd Avenue South, Bloomington, Hennepin County, Minnesota, 55425, United States

    MAIL STOP 21110Q

    BLOOMINGTON, MN 554254516

    Phone: (952) 541-2500

    Fax: (952) 541-2539

    Type: Mailing

  • Gamble Drive, Blackstone, Saint Louis Park, Hennepin County, Minnesota, 55416, United States

    SAINT LOUIS PARK, MN 554161588

    Phone: (952) 541-2500

    Fax: (952) 541-2539

    Type: Location

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: 2024-06-28

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
I20240628003927IClinical 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 55425)

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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: 2567685647View full group profile
NameSpecialtyState
Clinical PsychologistMN
Nurse PractitionerMN
Clinical Social WorkerMN
Nurse PractitionerMN
-MN
Mental Health CounselorMN
Marriage And Family TherapistMN
Marriage And Family TherapistMN
Clinical PsychologistMN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What federal number belongs to DR. JILLIAN NICOLE SIMPSON (PSYD, LP,)?
The federal identifier for DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) is NPI 1457673469.
Is DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) active in the national directory?
DR. JILLIAN NICOLE SIMPSON (PSYD, LP,)'s public NPI profile is in an active state.
Can you summarize DR. JILLIAN NICOLE SIMPSON (PSYD, LP,)'s specialty in plain language?
Clinically, the directory lists DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) with Psychologist. Clinical services aligned with this taxonomy classification.
Does DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) practice in Minnesota?
You will see Bloomington, Minnesota on file for DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) alongside any extra practice locations.
Is DR. JILLIAN NICOLE SIMPSON (PSYD, LP,) a real provider?
This page reflects official NPPES data for NPI 1457673469. Always confirm identity and privileges with the practice and licensing boards.

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