1. Home
  2. Directory
  3. Minnesota
  4. Saint Paul
  5. Social Worker
  6. NPI Profile

GAIL JOHANNA GROGAN PEDERSEN LICSW
NPI 1952046294
Social Worker - Clinical in Saint Paul, MN

Active since May 02, 2022PECOS Enrolled
1355 SPENCER RD W, SAINT PAUL, MN 55108(651) 983-3743 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Gail Johanna Grogan Pedersen Licsw NPPES

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

GAIL JOHANNA GROGAN PEDERSEN LICSW (NPI 1952046294) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (13610) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952046294
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGAIL JOHANNA GROGAN PEDERSENCredential: LICSW
Location Address1355 SPENCER RD WSaint Paul, MN 55108-5206
Mailing Address1355 Spencer Rd WSaint Paul, MN 55108-5206 · (651) 983-3743
Phone(651) 983-3743
Sole ProprietorYes
Enumeration DateMay 2, 2022
NPPES CertifiedMay 2, 2022
✔ NPI 1952046294 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 · 13610
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.
1355 SPENCER RD W, Saint Paul, MN 55108
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gail Johanna Grogan Pedersen Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Gail Grogan Pedersen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brave Choices, Inc.
3.8 mi
Clinical
1575 7TH ST W STE 104
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 4 clinicians in this Medicare group
NPI 1740637750 (612) 889-7517

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 55108 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.

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 Gail Grogan Pedersen's NPI number?

The NPI number for Gail Grogan Pedersen is 1952046294. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Gail Grogan Pedersen located?

Gail Grogan Pedersen practices at 1355 Spencer Rd W, Saint Paul, MN 55108. The listed phone number is (651) 983-3743.

What is Gail Grogan Pedersen's specialty?

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

Is Gail Grogan Pedersen enrolled in Medicare?

Yes. Gail Grogan Pedersen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gail Grogan Pedersen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gail Grogan Pedersen reassigns Medicare benefits to Brave Choices, Inc. (Saint Paul, 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 Gail Grogan Pedersen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gail Grogan Pedersen accept?

Health plans from HealthPartners list Gail Grogan Pedersen 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 Gail Grogan Pedersen was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.