DR. NAKISA ASHLEY KHOSHNEVIS PSY.D, LP
NPI 1073067609
Psychologist - Clinical in Apple Valley, MN

Active since August 11, 2016PECOS EnrolledAccepts Medicare Assignment
7300 147TH ST W STE 204, APPLE VALLEY, MN 55124(952) 997-3020(952) 997-3026 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 5, 2022, Apr 16, 2019, Aug 11, 2016 (3 updates tracked since 2016).

About Dr. Nakisa Ashley Khoshnevis Psy.d, Lp NPPES

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

DR. NAKISA ASHLEY KHOSHNEVIS PSY.D, LP (NPI 1073067609) is an individual clinical provider in Apple Valley, Minnesota, licensed in Minnesota (LP6382) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073067609
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. NAKISA ASHLEY KHOSHNEVISCredential: PSY.D, LP
Location Address7300 147TH ST W STE 204Apple Valley, MN 55124-7850
Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786 · (651) 628-9566 · Fax (651) 628-0411
Fax(952) 997-3026
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 11, 2016
Last NPPES UpdateJanuary 5, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
NPI 1073067609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP6382
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
7300 147TH ST W STE 204, Apple Valley, MN 55124

Accepted Insurance

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

Dr. Nakisa Ashley Khoshnevis Psy.d, 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 ID9537580493
PECOS Enrollment IDI20200601001177
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

Counselor (Mental Health)
7300 147TH ST W STE 204
APPLE VALLEY, MN 55124
Physician Assistant (Medical)
7300 147TH ST W STE 204
APPLE VALLEY, MN 55124
Social Worker (Clinical)
7300 147TH ST W STE 204
APPLE VALLEY, MN 55124
Counselor (Professional)
7300 147TH ST W STE 204
APPLE VALLEY, MN 55124
Counselor (Mental Health)
7300 147TH ST W STE 204
APPLE VALLEY, MN 55124
Counselor
7300 147TH ST W STE 204
APPLE VALLEY, MN 55124
Counselor (Addiction (Substance Use Disorder))
7300 147TH ST W STE 204
APPLE VALLEY, MN 55124
Social Worker (Clinical)
7300 147TH ST W STE 204
APPLE VALLEY, MN 55124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073067609, enumerated as an "individual" on August 11, 2016.

The provider is located at 7300 147TH ST W STE 204 APPLE VALLEY, MN 55124 and the phone number is (952) 997-3020.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to verify.