Spirit Lake Tribe - Medicare Mental Health Clinic in Fort Totten, ND

  1. Home
  2. Mental Health Clinics
  3. ND
  4. Fort Totten
Spirit Lake Tribe is a medicare enrolled mental health clinic (Clinic/center - Health Service) in Fort Totten, North Dakota. The current practice location for Spirit Lake Tribe is 3883 74th Ave Ne, Fort Totten, North Dakota. For appointments, you can reach them via phone at (701) 766-1600. The mailing address for Spirit Lake Tribe is Po Box 309, Fort Totten, North Dakota and phone number is (701) 766-1600.

Spirit Lake Tribe is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1114472891. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (701) 766-1600.

Contact Information

Spirit Lake Tribe
3883 74th Ave Ne
Fort Totten
ND 58335
(701) 766-1600
(701) 766-1630

Map and Direction


Mental Health Clinic Profile

Full NameSpirit Lake Tribe
SpecialityClinic/Center
Location3883 74th Ave Ne, Fort Totten, North Dakota
Authorized Official Name and PositionArlene Krulish (CEO)
Authorized Official Contact7017661607
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Spirit Lake Tribe
Po Box 309
Fort Totten
ND 58335-0309

Ph: (701) 766-1600		Spirit Lake Tribe
3883 74th Ave Ne
Fort Totten
ND 58335

Ph: (701) 766-1600

NPI Details:

NPI Number1114472891
Provider Enumeration Date08/23/2016
Last Update Date04/07/2020
Certification Date04/07/2020

Medicare PECOS Information:

Medicare PECOS PAC ID2466550801
Medicare Enrollment IDO20161206002392

Medical Identifiers

Medical identifiers for Spirit Lake Tribe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114472891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QP1100XClinic/center - Podiatric (* (Not Available))Secondary
261QR0206XClinic/center - Radiology, Mammography (* (Not Available))Secondary
291U00000XClinical Medical Laboratory (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Spirit Lake Tribe acts as a billing entity for following providers:
Provider NameDeborah Lynn Hanson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1326144791
PECOS PAC ID: 8123102720
Enrollment ID: I20090803000643
Provider NameCheryl A Hefta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255448668
PECOS PAC ID: 3971633660
Enrollment ID: I20100607000224
Provider NameJeffrey L Vaagen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518044577
PECOS PAC ID: 6305899139
Enrollment ID: I20170530000547
Provider NameLenae A Lee
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1497974794
PECOS PAC ID: 8527050806
Enrollment ID: I20170630000526
Provider NameAndrea M Macfadden
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730168220
PECOS PAC ID: 2264335686
Enrollment ID: I20171014000237
Provider NameJulie S Mongeri-mcpherson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003291840
PECOS PAC ID: 0143524496
Enrollment ID: I20180125000278
Provider NameBrenda L Marquardt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831196732
PECOS PAC ID: 4880723030
Enrollment ID: I20190923001424
Provider NameKatie J Jorgenson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1912399262
PECOS PAC ID: 6204240765
Enrollment ID: I20210126000244
Provider NameBrandi Hartman Willard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619083797
PECOS PAC ID: 2264523828
Enrollment ID: I20210923001545
Provider NameCarlee Lynn Thomson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164945994
PECOS PAC ID: 6901178037
Enrollment ID: I20211130001649
Provider NameSusan Elaine Cassatt
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1831379767
PECOS PAC ID: 3476630252
Enrollment ID: I20220323000936
Provider NameZachary Thomas Smith
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1194062927
PECOS PAC ID: 4789829078
Enrollment ID: I20220407002008
Provider NameTrisha Olson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912632704
PECOS PAC ID: 0446627004
Enrollment ID: I20221110002220
Provider NameStella Chisomaga Onyeakazi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053825224
PECOS PAC ID: 9830420215
Enrollment ID: I20221214001578
Provider NameJohn Carlyle Miller
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1407810575
PECOS PAC ID: 5092740662
Enrollment ID: I20230828002485
Provider NameMacie Joanne Mikkelsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376226290
PECOS PAC ID: 1254785686
Enrollment ID: I20231003003205
Provider NameAshley Lynn Pederson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548715550
PECOS PAC ID: 1355742412
Enrollment ID: I20231023000469
Provider NameNikki Lynne Lafromboise
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1700542883
PECOS PAC ID: 3779924014
Enrollment ID: I20240516003947
Provider NameNevin Lee Gillis
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1639758980
PECOS PAC ID: 1052767399
Enrollment ID: I20240522002311
Provider NameCallie Ann Krause
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295350114
PECOS PAC ID: 9133535511
Enrollment ID: I20240620003837
Provider NameMelissa Marie Thomas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780395285
PECOS PAC ID: 3870963770
Enrollment ID: I20240719000082
Provider NameMary Joy E Derla
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407686231
PECOS PAC ID: 0143751198
Enrollment ID: I20241002000955

Reviews and Comments

Clinic/Center in Fort Totten, ND

Spirit Lake Tribe
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7184 Hwy 57, Fort Totten, ND 58335
Phone: 701-766-4736    Fax: 701-766-4722
Spirit Lake Tribe
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335
Phone: 701-766-1600    Fax: 701-766-1630
Spirit Lake Tribe
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 7527 Ephraim Hill Road, Fort Totten, ND 58335
Phone: 701-766-4285    Fax: 701-766-1229
Spirit Lake Tribe
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 3883 74th Ave Ne, Fort Totten, ND 58335
Phone: 701-766-1600    Fax: 701-766-1630

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.