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

Q: 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.

Q: What is Nancy Bottorff'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 Nancy Bottorff was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

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: November 01, 2026.

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

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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

Phone(612) 590-7572

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

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Nancy Bottorff reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ho'oulu Counseling LLC

3,949 mi

Marriage & Family Therapist

75-5995 KUAKINI HWY STE 221
Kailua Kona, HI 96740

Reassigned Medicare billing, Hawaii enrollment
6 clinicians in this Medicare group

NPI 1528556966 (808) 465-3005

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 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.

LOIS ANN JONET LMFT, LP

Marriage & Family Therapist