NANCY K BOTTORFF (LP) – Clinical Psychologist, NPI 1780733774
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,110 CLINICAL PSYCHOLOGIST in MN
Provider Addresses for NANCY K BOTTORFF (LP)
3108 HENNEPIN AVE
MINNEAPOLIS, MN 554082619
Phone: (612) 590-7572
Type: Location
75-5995 Kuakini Hwy Ste 221
Kailua Kona, HI 967402120
Phone: (612) 207-0090
Type: Location
P.O. BOX 820
KEALAKEKUA, HI 967500820
Phone: (612) 207-0090
Type: Mailing
82-1103 KALAMAKOWALI HMSTEAD ROAD
CAPTAIN COOK, HI 96704
Phone: (612) 207-0090
Type: Location
Cleveland Avenue South, Saint Paul, Ramsey County, Minnesota, 55116, United States
SUITE P
SAINT PAUL, MN 551051208
Phone: (612) 207-0090
Fax: (651) 699-9616
Type: Location
4128, Sheridan Avenue South, Linden Hills, Southwest, Minneapolis, Hennepin County, Minnesota, 55410, United States
MINNEAPOLIS, MN 554101257
Phone: (612) 207-0090
Type: Mailing
3927 THOMAS AVE S
MINNEAPOLIS, MN 554101235
Phone: (612) 207-0090
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2022-06-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070418000052 | I | Clinical Psychologist | MN | TBD |
| I20220616000889 | I | Psychologist Billing Independently | HI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 108 | 14 | $0 |
Insurance plans in this area (ZIP 55408)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.