AUTUMN M BUSSUVANNO PSYD, LP
NPI 1013525021
Psychologist in Minneapolis, MN

Active since July 15, 2020PECOS EnrolledAccepts Medicare Assignment
91.42/100
CMS Quality Rating
701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2024, Jul 15, 2020 (2 updates tracked since 2020).

About Autumn M Bussuvanno Psyd, Lp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN M BUSSUVANNO PSYD, LP (NPI 1013525021) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP6858) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Hennepin County Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013525021
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAUTUMN M BUSSUVANNOCredential: PSYD, LP
Location Address701 PARK AVEMinneapolis, MN 55415-1623
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 15, 2020
Last NPPES UpdateJune 11, 20242 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
NPI 1013525021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6858
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
701 PARK AVE, Minneapolis, MN 55415

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Autumn M Bussuvanno Psyd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133596414
PECOS Enrollment IDI20221028001342
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hennepin County Medical Center

Acute Care Hospitals · Minneapolis, MN
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number240004
Location701 Park AvenueMinneapolis, MN 55415 · Hennepin County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.78
Promoting Interoperability100
Improvement Activities40
Cost62.8

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
701 PARK AVE
MINNEAPOLIS, MN 55415
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Dentist (Oral and Maxillofacial Surgery)
701 PARK AVE
MINNEAPOLIS, MN 55415
Counselor (Professional)
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Bussuvanno's NPI number?

The NPI number for Autumn Bussuvanno is 1013525021. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Autumn Bussuvanno located?

Autumn Bussuvanno practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-3000.

What is Autumn Bussuvanno's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Autumn Bussuvanno enrolled in Medicare?

Yes. Autumn Bussuvanno is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Autumn Bussuvanno affiliated with any hospitals?

According to CMS data, Autumn Bussuvanno is affiliated with Hennepin County Medical Center.

When was this NPI record last updated?

The NPPES record for Autumn Bussuvanno was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.