NICOLE RENE BISBEE (MSW, LICSW) – Clinical Social Worker, NPI 1518729144

NICOLE RENE BISBEE (MSW, LICSW) is a healthcare provider. based in Saint paul, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LICSW. They hold a License No. 30408 (MN). The NPI Number for NICOLE RENE BISBEE (MSW, LICSW) is 1518729144

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE RENE BISBEE (MSW, LICSW)
NPI
1518729144
Phone
(763) 780-3307
Address
1551 PAYNE AVE
Enumeration Date
29 January 2024
Last Update Date
12 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637803307
Graduation Year
2021 (5 years ago)
PAC ID
8628419520
Group Practice PAC ID
3072948389
Professional Enrollment ID
I20240509001402
Address ID
MN554213777FR5155XRDXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

2,341 CLINICAL SOCIAL WORKER in MN

Provider Addresses for NICOLE RENE BISBEE (MSW, LICSW)

  • 1551 PAYNE AVE

    SAINT PAUL, MN 551303218

    Phone: (763) 780-3307

    Fax: (763) 780-3306

    Mailing address matches the actual address.

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: 2024-05-09

PECOS data refreshed: 2026-06-15

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
I20240509001402IClinical Social WorkerMNTBD

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 55130)

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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: 3072948389View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Mental Health CounselorMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorUT
Clinical Social WorkerMN

Reviews

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Frequently asked questions

What federal number belongs to NICOLE RENE BISBEE (MSW, LICSW)?
The federal identifier for NICOLE RENE BISBEE (MSW, LICSW) is NPI 1518729144.
Is NICOLE RENE BISBEE (MSW, LICSW) active in the national directory?
NICOLE RENE BISBEE (MSW, LICSW)'s public NPI profile is in an active state.
What kind of provider is NICOLE RENE BISBEE (MSW, LICSW)?
The page reflects Clinical Social Worker for NICOLE RENE BISBEE (MSW, LICSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for NICOLE RENE BISBEE (MSW, LICSW)?
The page summarizes Saint Paul, Minnesota for NICOLE RENE BISBEE (MSW, LICSW); expand the address list for detail.
How can I contact NICOLE RENE BISBEE (MSW, LICSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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