Kelsey Vivatson, PMHNP-BC, APRN - Medicare Nurse Practitioner in Devils Lake, ND

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Kelsey Vivatson, PMHNP-BC, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Devils Lake, North Dakota. Her current practice location is 210 Highway 2 W Ste 10, Devils Lake, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 662-1046.

Kelsey Vivatson is licensed to practice in North Dakota (license number R37072) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043945397.

Contact Information

Kelsey Vivatson, PMHNP-BC, APRN
210 Highway 2 W Ste 10,
Devils Lake, ND 58301-2913
(701) 662-1046
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Vivatson
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location210 Highway 2 W Ste 10, Devils Lake, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043945397
  • Provider Enumeration Date: 07/20/2022
  • Last Update Date: 07/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072989714
  • Enrollment ID: I20221020000621

Medical Identifiers

Medical identifiers for Kelsey Vivatson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043945397NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health R37072 (North Dakota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelsey Vivatson allows following entities to bill medicare on her behalf.
Entity NameLifewise Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871088674
PECOS PAC ID: 2264784008
Enrollment ID: O20190625002236
Entity NamePractice Place Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184283541
PECOS PAC ID: 2860721164
Enrollment ID: O20190911003931

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelsey Vivatson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelsey Vivatson, PMHNP-BC, APRN
210 Highway 2 W Ste 10,
Devils Lake, ND 58301-2913

Ph: () -		Kelsey Vivatson, PMHNP-BC, APRN
210 Highway 2 W Ste 10,
Devils Lake, ND 58301-2913

Ph: (701) 662-1046

Reviews and Comments


Nurse Practitioner Nurses in Devils Lake, ND

Stella Onyeakazi, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1001 7th St. Ne- Altru Clinic Devils Lake, Devils Lake, ND 58301
Phone: 701-662-2157    
Luann J Stromme, DNP,FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Highway 2 W, Devils Lake, ND 58301
Phone: 701-665-2200    Fax: 701-665-2300
Megan Overby, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1001 7th St Ne, Devils Lake, ND 58301
Phone: 701-662-2157    
Carlee Lynn Thomson, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1031 7th St Ne, Devils Lake, ND 58301
Phone: 701-662-2131    
Jenny Potgieter, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1031 7th St Ne, Devils Lake, ND 58301
Phone: 701-662-2131    
Billie J Madler, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1001 7th St Ne, Devils Lake, ND 58301
Phone: 701-662-2157    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.