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

Q: What is Nakisa Khoshnevis's NPI number?

The NPI number for Nakisa Khoshnevis is 1073067609. It was assigned to this individual provider in the NPPES registry on August 11, 2016.

Q: What is Nakisa Khoshnevis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Nakisa Khoshnevis was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

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: August 09, 2026.

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

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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

Phone(952) 997-3020

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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 20

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

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