Autumn M. Bussuvanno, PSYD, LP
NPI 1013525021ActiveIndividual· Psychologist· Minneapolis, MN
Psychologist (PSYD, LP) with Hennepin Healthcare System Inc, practicing in Minneapolis, Minnesota. Medicare paid $8,820 for services to 13 patients in 2024. Lists Hennepin County Medical Center as a hospital affiliation.
Overview
| NPI | 1013525021 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, LP |
| Sole proprietor | No |
| NPI issued | Jul 15, 2020 |
| Last updated in NPPES | Jun 11, 2024 |
| Certified by provider | Jun 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | LP6858 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 111 across 5 procedure codes |
| Paid by Medicare | $8,820 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Hennepin Healthcare System IncMinneapolis, MN · 871 clinicians
Hospital affiliation
- Hennepin County Medical CenterMinneapolis, MN
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