Kimberly Ford, NURSE PRACTITIONER - Medicare Nurse Practitioner in Cavalier, ND

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Kimberly Ford, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Cavalier, North Dakota. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pembina County Memorial Hospital Association and her current practice location is 301 Mountain St E, Cavalier, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 265-8461.

Kimberly Ford is licensed to practice in North Dakota (license number R36587) 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 1205366788.

Contact Information

Kimberly Ford, NURSE PRACTITIONER
301 Mountain St E,
Cavalier, ND 58220-4015
(701) 265-8461
(701) 265-6269

Map and Direction




Provider's Profile

Full NameKimberly Ford
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location301 Mountain St E, Cavalier, 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:
  • Kimberly Ford graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1205366788
  • Provider Enumeration Date: 06/15/2017
  • Last Update Date: 07/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496029340
  • Enrollment ID: I20170915003185

Medical Identifiers

Medical identifiers for Kimberly Ford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205366788NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family R36587 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Pembina County Memorial HospitalCavalier, NDHospital
Altru HospitalGrand forks, NDHospital
First Care Health CenterPark river, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pembina County Memorial Hospital Association478964371995

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. Kimberly Ford allows following entities to bill medicare on her behalf.
Entity NamePembina County Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417093949
PECOS PAC ID: 4789643719
Enrollment ID: O20041006000441
Entity NamePembina County Memorial Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1760542500
PECOS PAC ID: 4789643719
Enrollment ID: O20101019001369

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. Kimberly Ford 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
Kimberly Ford, NURSE PRACTITIONER
301 Mountain St E,
Cavalier, ND 58220-4015

Ph: (701) 265-8461		Kimberly Ford, NURSE PRACTITIONER
301 Mountain St E,
Cavalier, ND 58220-4015

Ph: (701) 265-8461

Reviews and Comments


Nurse Practitioner Nurses in Cavalier, ND

Ms. Debra K. Vivatson, MSN ACNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 201 East 3rd Ave S, Cavalier, ND 58220
Phone: 701-780-5000    

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.