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VICTORIA PETERSON-HILLEQUE LP
NPI 1962381624
Psychologist - Clinical in Edina, MN

Active since August 28, 2025PECOS EnrolledAccepts Medicare Assignment
4600 77TH ST W STE 370, EDINA, MN 55435(612) 464-1400 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Victoria Peterson-hilleque Lp NPPES

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

VICTORIA PETERSON-HILLEQUE LP (NPI 1962381624) is an individual clinical provider in Edina, Minnesota, licensed in Minnesota (LP7225) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962381624
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameVICTORIA PETERSON-HILLEQUECredential: LP
Location Address4600 77TH ST W STE 370Edina, MN 55435-4912
Mailing Address4600 77th St W Ste 370Edina, MN 55435-4912 · (612) 464-1400
Phone(612) 464-1400
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1962381624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MN · LP7225
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.
4600 77TH ST W STE 370, Edina, MN 55435
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Victoria Peterson-hilleque Lp 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.

PECOS PAC ID8921596891
PECOS Enrollment IDI20251022003138
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 55435 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 4

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

BAILEE R GASS
Counselor (Mental Health)
4600 77TH ST W STE 370
EDINA, MN 55435
Hennepin County (320) 522-0064
LUKE ROSKE-METCALFE MA
Marriage & Family Therapist
4600 77TH ST W STE 370
EDINA, MN 55435
Hennepin County (612) 464-1400
MOSAIC THERAPY GROUP
Clinic/Center (Multi-Specialty)
4600 77TH ST W STE 370
EDINA, MN 55435
Hennepin County (612) 464-1400
MELANIE WALLER LICSW
Social Worker (Clinical)
4600 77TH ST W STE 370
EDINA, MN 55435
Hennepin County (612) 464-1400

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 Victoria Peterson-hilleque's NPI number?

The NPI number for Victoria Peterson-hilleque is 1962381624. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Victoria Peterson-hilleque located?

Victoria Peterson-hilleque practices at 4600 77th St W Ste 370, Edina, MN 55435. The listed phone number is (612) 464-1400.

What is Victoria Peterson-hilleque's specialty?

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

Is Victoria Peterson-hilleque enrolled in Medicare?

Yes. Victoria Peterson-hilleque 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.

When was this NPI record last updated?

The NPPES record for Victoria Peterson-hilleque was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.