NANCY K BOTTORFF LP
NPI 1780733774
Psychologist - Clinical in Minneapolis, MN

Active since January 09, 2007PECOS Enrolled
3108 HENNEPIN AVE, MINNEAPOLIS, MN 55408(612) 590-7572 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2025, May 24, 2022, May 19, 2022 and 1 more (4 updates tracked since 2016).

About Nancy K Bottorff Lp NPPES

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

NANCY K BOTTORFF LP (NPI 1780733774) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (LP4674) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kailua Kona, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1780733774
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNANCY K BOTTORFFCredential: LP
Location Address3108 HENNEPIN AVEMinneapolis, MN 55408-2619
Mailing Address3927 Thomas Ave SMinneapolis, MN 55410-1235 · (612) 207-0090
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMarch 4, 20254 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
NPI 1780733774 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 · LP4674
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 ListedPsychologistTaxonomy 103T00000X · License PSY-1910 (HI)
3108 HENNEPIN AVE, Minneapolis, MN 55408

Secondary Practice Location 1

Location 175-5995 Kuakini Hwy Ste 221Kailua Kona, HI 96740-2120 · Phone (612) 207-0090

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 (PECOS)

Nancy K Bottorff Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860597002
PECOS Enrollment IDI20070418000052, I20220616000889
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 55408 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 10

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

Psychologist
3108 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Marriage & Family Therapist
3108 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist
3108 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist (Psychoanalysis)
3108 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Social Worker
3108 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist
3108 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Clinic/Center (Adult Mental Health)
3108 HENNEPIN AVE
MINNEAPOLIS, MN 55408
Psychologist (Group Psychotherapy)
3108 HENNEPIN AVE
MINNEAPOLIS, MN 55408

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 Nancy Bottorff's NPI number?

The NPI number for Nancy Bottorff is 1780733774. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Nancy Bottorff located?

Nancy Bottorff practices at 3108 Hennepin Ave, Minneapolis, MN 55408. The listed phone number is (612) 590-7572.

What is Nancy Bottorff's specialty?

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

Is Nancy Bottorff enrolled in Medicare?

Yes. Nancy Bottorff is registered in the Medicare PECOS enrollment system.

What insurance does Nancy Bottorff accept?

Health plans from HMSA list Nancy Bottorff as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nancy Bottorff was last updated on March 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.