GUSTAF POLLOCK
NPI 1689060634
Counselor - Mental Health in Eden Prairie, MN
About Gustaf Pollock NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUSTAF POLLOCK (NPI 1689060634) is an individual mental health provider in Eden Prairie, Minnesota and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.
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 (PECOS)
Gustaf Pollock is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gustaf Pollock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Brightside Medical PA
- 11 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.
EDEN PRAIRIE, MN 55344
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 Gustaf Pollock's NPI number?
The NPI number for Gustaf Pollock is 1689060634. It was assigned to this individual provider in the NPPES registry on April 7, 2015.
Where is Gustaf Pollock located?
Gustaf Pollock practices at 7525 Mitchell Rd Ste 100, Eden Prairie, MN 55344. The listed phone number is (952) 224-2282.
What is Gustaf Pollock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Gustaf Pollock enrolled in Medicare?
Yes. Gustaf Pollock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gustaf Pollock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gustaf Pollock reassigns Medicare benefits to Brightside Medical, P.A. (San Francisco, CA). 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 Gustaf Pollock'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 Gustaf Pollock was last updated on April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Gustaf Pollock · NPI 1689060634
Mental Health provider in Eden Prairie, Minnesota. Individual provider, active in the CMS NPPES registry since April 7, 2015.
## Identity
- **NPI:** 1689060634 (Entity type: Individual)
- **Enumerated:** April 7, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 7525 MITCHELL RD, STE 100, Eden Prairie, MN 55344-1959
- **Phone:** (952) 224-2282
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical, P.A. (NPI 1609335660, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1689060634) · Data from the CMS NPPES public registry.