DR. KATHLEEN M HEANEY (MD) – Addiction Medicine (Psychiatry & Neurology) Physician, NPI 1871572040
Addiction Medicine (Psychiatry & Neurology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
40 ADDICTION MEDICINE in MN
Provider Addresses for DR. KATHLEEN M HEANEY (MD)
701 Park Ave
Minneapolis, MN 554151623
Phone: (612) 873-3000
Type: Location
4027 County Road 25
Minneapolis, MN 554162629
Phone: (612) 925-6033
Fax: (612) 925-8496
Type: Location
701 PARK AVE
MINNEAPOLIS, MN 554151623
Phone: (612) 873-3000
Type: Mailing
914 S 8TH ST
MINNEAPOLIS, MN 554041204
Phone: (612) 873-5500
Type: Location
807, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55404, United States
MINNEAPOLIS, MN 554041136
Phone: (612) 347-0950
Type: Mailing
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: 2004-11-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041120000137 | I | Psychiatry | MN | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 65 | 28 | $0 |
| 99291 | Critical care, first 30-74 minutes | 14 | 13 | $0 |
Insurance plans in this area (ZIP 55415)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| - | MN | |
| Clinical Social Worker | MN | |
| Clinical Social Worker | WI | |
| - | MN | |
| - | MN | |
| - | MN | |
| Clinical Psychologist | MN | |
| Clinical Social Worker | MN | |
| - | MN |
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