HEATHER GALLIVAN
NPI 1477538247
Psychologist in Minneapolis, MN
About Heather Gallivan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER GALLIVAN (NPI 1477538247) is an individual psychologist in Minneapolis, Minnesota, licensed in Minnesota (LP4521) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
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
Heather Gallivan 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Gallivan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 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.
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.
ST LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
ST LOUIS PARK, MN 55426
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 Heather Gallivan's NPI number?
The NPI number for Heather Gallivan is 1477538247. It was assigned to this individual provider in the NPPES registry on December 14, 2005.
Where is Heather Gallivan located?
Heather Gallivan practices at 6490 Excelsior Blvd Suite W505, Minneapolis, MN 55426. The listed phone number is (952) 993-6200.
What is Heather Gallivan's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Heather Gallivan enrolled in Medicare?
Yes. Heather Gallivan 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 organization bills Medicare for Heather Gallivan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Gallivan reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). The 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 Heather Gallivan'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 Heather Gallivan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.