Kelsey Vivatson, PMHNP-BC, APRN - Medicare Nurse Practitioner in Grand Forks, ND

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Kelsey Vivatson, PMHNP-BC, APRN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Forks, North Dakota. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 2534 17th Ave S Ste E, Grand Forks, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 885-4551.

Kelsey Vivatson is licensed to practice in North Dakota (license number R37072) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043945397.

Contact Information

Kelsey Vivatson, PMHNP-BC, APRN
2534 17th Ave S Ste E,
Grand Forks, ND 58201-5215
(701) 885-4551
(701) 757-1351

Map and Direction




Provider's Profile

Full NameKelsey Vivatson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2534 17th Ave S Ste E, Grand Forks, North Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Vivatson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1043945397
  • Provider Enumeration Date: 07/20/2022
  • Last Update Date: 09/18/2025
  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
363LP0808XNurse Practitioner - Psychiatric/mental Health 11019899 (Florida)Secondary

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
Po Box 5459,
Grand Forks, ND 58206-5459

Ph: (701) 885-4551		Kelsey Vivatson, PMHNP-BC, APRN
2534 17th Ave S Ste E,
Grand Forks, ND 58201-5215

Ph: (701) 885-4551

Reviews and Comments


Nurse Practitioner Nurses in Grand Forks, ND

Ms. Estella Ann Boger, GNP-C
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Practice Location: 1000 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5000    
Bethann Marie Nuelle, FNP-C
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Phone: 701-757-2559    
Kaitlyn Rose Vagle, FNP
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Practice Location: 1200 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5000    
Ms. Mary Pat Holler-bibel, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 718 Oak St, Grand Forks, ND 58201
Phone: 218-230-0070    Fax: 800-958-7702
Kayla Clausen, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 960 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-5400    Fax: 701-780-6416
Laura Olson,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 S Columbia Rd, Grand Forks, ND 58201
Phone: 701-780-2300    Fax: 701-780-6940

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.