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KIFF ELIZABETH PETERSON
NPI 1043183973
Nurse Practitioner - Psychiatric/Mental Health in Fargo, ND

Active since September 26, 2025PECOS EnrolledAccepts Medicare Assignment
510 4TH ST S, FARGO, ND 58103(701) 476-7200(701) 280-5795 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kiff Elizabeth Peterson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIFF ELIZABETH PETERSON (NPI 1043183973) is an individual psychiatric/mental health provider in Fargo, North Dakota, licensed in North Dakota (203521) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043183973
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIFF ELIZABETH PETERSON
Location Address510 4TH ST SFargo, ND 58103-1914
Mailing Address510 4th St SFargo, ND 58103-1914 · (701) 476-7200 · Fax (701) 280-5795
Phone(701) 476-7200
Fax(701) 280-5795
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1043183973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in ND · 203521✔ Licensed in MN · 13418
510 4TH ST S, Fargo, ND 58103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kiff Elizabeth Peterson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890287098
PECOS Enrollment IDI20251125002210
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kiff Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psj Acquisition LLC
Same address
Psychologist
510 4TH ST S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 65 clinicians in this Medicare group
NPI 1720454267 (701) 476-7800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY BISHOP
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
DR. LAWANA MARIE BURTNETT M.D.
Psychiatry & Neurology (Psychiatry)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
MARYN LYNNA YOUNG FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
CHERYL MELBYE LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7240
MRS. GLENICE M CARLSON PAC
Physician Assistant
510 4TH ST S, PRAIRIE ST JOHNS
FARGO, ND 58103
Cass County (701) 476-7239
CAMIE LYNN PFEIFER LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7876
WILLIAM D BRINK LAC
Counselor (Addiction (Substance Use Disorder))
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200
EMILY AERAN MARISE METWALY RN
Registered Nurse
510 4TH ST S
FARGO, ND 58103
Cass County (701) 476-7200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kiff Peterson's NPI number?

The NPI number for Kiff Peterson is 1043183973. It was assigned to this individual provider in the NPPES registry on September 26, 2025.

Where is Kiff Peterson located?

Kiff Peterson practices at 510 4th St S, Fargo, ND 58103. The listed phone number is (701) 476-7200.

What is Kiff Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kiff Peterson enrolled in Medicare?

Yes. Kiff Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kiff Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kiff Peterson reassigns Medicare benefits to Psj Acquisition LLC (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kiff Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kiff Peterson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kiff Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kiff Peterson was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.