HEIDI PHUYAL MSW, LICSW
NPI 1265898472
Social Worker - Clinical in Bloomington, MN

Active since January 05, 2016PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
5414 W OLD SHAKOPEE CIR, BLOOMINGTON, MN 55437(952) 888-5611(952) 888-3741 Get Directions Write a Review

NPPES record last updated: January 5, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Heidi Phuyal Msw, Licsw NPPES

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

HEIDI PHUYAL MSW, LICSW (NPI 1265898472) is an individual clinical provider in Bloomington, Minnesota, licensed in Minnesota (17194) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1265898472
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHEIDI PHUYALCredential: MSW, LICSW
Location Address5414 W OLD SHAKOPEE CIRBloomington, MN 55437-2766
Mailing Address5414 W Old Shakopee CirBloomington, MN 55437-2766 · (952) 888-5611
Fax(952) 888-3741
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 5, 2016
✔ NPI 1265898472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 17194
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5414 W OLD SHAKOPEE CIR, Bloomington, MN 55437

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heidi Phuyal Msw, Licsw 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 ID3072947183
PECOS Enrollment IDI20191226000975
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Heidi Phuyal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Specialist
6545 FRANCE AVE S STE 450
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
Hospitalist
6401 FRANCE AVE S
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Physical Therapy
2450 RIVERSIDE AVE
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,373 clinicians in this Medicare group
General Acute Care Hospital
750 E 34TH ST
Hibbing, MN 55746
  • Reassigned Medicare billing, Minnesota enrollment
  • 707 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55437 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
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
5414 W OLD SHAKOPEE CIR
BLOOMINGTON, MN 55437
Counselor (Professional)
5414 W OLD SHAKOPEE CIR
BLOOMINGTON, MN 55437
Social Worker (Clinical)
5414 W OLD SHAKOPEE CIR
BLOOMINGTON, MN 55437
Counselor (Professional)
5414 W OLD SHAKOPEE CIR
BLOOMINGTON, MN 55437
Community Based Residential Treatment Facility, Mental Illness
5414 W OLD SHAKOPEE CIR
BLOOMINGTON, MN 55437

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 Heidi Phuyal's NPI number?

The NPI number for Heidi Phuyal is 1265898472. It was assigned to this individual provider in the NPPES registry on January 5, 2016.

Where is Heidi Phuyal located?

Heidi Phuyal practices at 5414 W Old Shakopee Cir, Bloomington, MN 55437. The listed phone number is (952) 888-5611.

What is Heidi Phuyal's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Heidi Phuyal enrolled in Medicare?

Yes. Heidi Phuyal 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.

Which organizations bill Medicare for Heidi Phuyal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heidi Phuyal reassigns Medicare benefits to 4 organizations: Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN), Fairview Specialty Services (Minneapolis, MN) and Range Regional Health Services (Hibbing, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heidi Phuyal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Heidi Phuyal was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.