Kimberly Spivack, MSN - Medicare Nurse Practitioner in Glenwood, MN

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Kimberly Spivack, MSN is a medicare enrolled "Nurse Practitioner - Acute Care" in Glenwood, Minnesota. Her current practice location is 10 4th Ave Se, Glenwood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 634-4521.

Kimberly Spivack is licensed to practice in Minnesota (license number 12514) 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 1376357814.

Contact Information

Kimberly Spivack, MSN
10 4th Ave Se,
Glenwood, MN 56334-1820
(320) 634-4521
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Spivack
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location10 4th Ave Se, Glenwood, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376357814
  • Provider Enumeration Date: 02/05/2025
  • Last Update Date: 02/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799209490
  • Enrollment ID: I20250403001488

Medical Identifiers

Medical identifiers for Kimberly Spivack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376357814NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 12514 (Minnesota)Secondary
363LA2100XNurse Practitioner - Acute Care 12514 (Minnesota)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. Kimberly Spivack allows following entities to bill medicare on her behalf.
Entity NameGlacial Ridge Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255348223
PECOS PAC ID: 5294789194
Enrollment ID: O20050719000315
Entity NameGlacial Ridge Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1538178520
PECOS PAC ID: 5294789194
Enrollment ID: O20061104000464

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 Spivack 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 Spivack, MSN
1240 W Main St,
Paynesville, MN 56362-1040

Ph: (701) 740-1890		Kimberly Spivack, MSN
10 4th Ave Se,
Glenwood, MN 56334-1820

Ph: (320) 634-4521

Reviews and Comments


Nurse Practitioner Nurses in Glenwood, MN

Micala Sue Danielson, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 4th Ave Se, Glenwood, MN 56334
Phone: 320-634-5157    
Elizabeth Ann Ankeny, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10 4th Ave Se, Glenwood, MN 56334
Phone: 320-634-4521    Fax: 320-634-2262
Jessica Lynn Spaulding, MSN, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 105 2nd Ave Ne Ste 110, Glenwood, MN 56334
Phone: 320-428-0744    Fax: 320-438-2829
Martha Mary Holmquist, DNP, APRN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 20350 County Road 39, Glenwood, MN 56334
Phone: 320-760-6925    Fax: 320-239-2623
Tanya Freske, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 417 Franklin St S, Glenwood, MN 56334
Phone: 320-634-5157    Fax: 320-634-2244
Kristi Mae Winter, APRN CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10 4th Ave Se, Glenwood, MN 56334
Phone: 320-634-4521    

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.