DR. GAIL ANN NOLLER (PSYD, LP) – Psychologist, NPI 1730130758

DR. GAIL ANN NOLLER (PSYD, LP) is a healthcare provider. based in Anoka, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD, LP. They hold a License No. LP3194 (MN). The NPI Number for DR. GAIL ANN NOLLER (PSYD, LP) is 1730130758

Main info

Female
26 Years Of Experience
Name
DR. GAIL ANN NOLLER (PSYD, LP)
NPI
1730130758
Phone
(763) 427-6897
Address
1416 OAKWOOD DR
Enumeration Date
15 May 2006
Last Update Date
28 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7637858111
Graduation Year
2000 (26 years ago)
PAC ID
3678506961
Group Practice PAC ID
2961435250
Professional Enrollment ID
I20050916000482
Address ID
MN554335859CO199XXNWXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. GAIL ANN NOLLER (PSYD, LP)

  • 1416, Oakwood Drive, Anoka, Anoka County, Minnesota, 55303, United States

    ANOKA, MN 553032747

    Phone: (763) 427-6897

    Type: Mailing

  • Coon Rapids Boulevard Northwest, Parkside, Coon Rapids, Anoka County, Minnesota, 55433, United States

    SUITE 310

    COON RAPIDS, MN 554335831

    Phone: (763) 785-8111

    Fax: (763) 785-8111

    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: 2005-09-16

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
I20050916000482IClinical 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour11811$0
View full utilization report →

Insurance plans in this area (ZIP 55303)

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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: 2961435250View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

What number should I use to identify DR. GAIL ANN NOLLER (PSYD, LP) for billing?
Administrative and clinical systems typically use NPI 1730130758 for DR. GAIL ANN NOLLER (PSYD, LP).
Should I treat DR. GAIL ANN NOLLER (PSYD, LP) as an active provider?
Patients and plans typically see DR. GAIL ANN NOLLER (PSYD, LP) as active in the national extract.
What type of care does DR. GAIL ANN NOLLER (PSYD, LP) provide?
DR. GAIL ANN NOLLER (PSYD, LP)'s profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. GAIL ANN NOLLER (PSYD, LP) tied to Anoka, Minnesota?
If you are local to Anoka, Minnesota, DR. GAIL ANN NOLLER (PSYD, LP) may be relevant to your search.
Can I export DR. GAIL ANN NOLLER (PSYD, LP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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