Nancy Claire Bologna, PHD, MS, LP
NPI 1790089878ActiveIndividual· Psychologist, Clinical· Eden Prairie, MN
Opted out of Medicare from February 2022 to February 2028. Psychologist, Clinical (PHD, MS, LP) in Eden Prairie, Minnesota, licensed in MN, with an NPI issued in January 2011.
Overview
| NPI | 1790089878 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, MS, LP |
| Sole proprietor | Yes |
| NPI issued | Jan 4, 2011 |
| Last updated in NPPES | Jan 4, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP1470 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Feb 14, 2022 – Feb 14, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other Psychologist, Clinical providers in Eden Prairie
- 1396714234
- 1356187124
- 1801305578
- 1205203965
- 1619077898
- 1265419485
- 1144392333
- 1518318286
- 1245993120
- 1881922805
- 1649317413
- 1942750575