KELSEY VIVATSON PMHNP-BC, APRN
NPI 1043945397
Nurse Practitioner - Psychiatric/Mental Health in Grand Forks, ND

Active since July 20, 2022PECOS Enrolled
2534 17TH AVE S STE E, GRAND FORKS, ND 58201(701) 885-4551(701) 757-1351 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2025, Jul 20, 2022 (2 updates tracked since 2022).

About Kelsey Vivatson Pmhnp-bc, Aprn NPPES

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

KELSEY VIVATSON PMHNP-BC, APRN (NPI 1043945397) is an individual psychiatric/mental health provider in Grand Forks, North Dakota, licensed in North Dakota (R37072) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Aventura.

NPPES Registry Identity

NPI1043945397
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELSEY VIVATSONCredential: PMHNP-BC, APRN
Location Address2534 17TH AVE S STE EGrand Forks, ND 58201-5215
Mailing AddressPo Box 5459Grand Forks, ND 58206-5459 · (701) 885-4551
Fax(701) 757-1351
Sole ProprietorYes
Enumeration DateJuly 20, 2022
Last NPPES UpdateSeptember 18, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
NPI 1043945397 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 · R37072 Licensed in FL · 11019899
2534 17TH AVE S STE E, Grand Forks, ND 58201

Secondary Practice Location 1

Location 12820 NE 214th St Ste 1002Aventura, FL 33180-1270 · Phone (786) 744-4207

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelsey Vivatson Pmhnp-bc, Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58201 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 3

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

Psychologist
2534 17TH AVE S STE E
GRAND FORKS, ND 58201
Psychologist (Clinical)
2534 17TH AVE S STE E
GRAND FORKS, ND 58201
Psychologist
2534 17TH AVE S STE E
GRAND FORKS, ND 58201

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 Kelsey Vivatson's NPI number?

The NPI number for Kelsey Vivatson is 1043945397. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Kelsey Vivatson located?

Kelsey Vivatson practices at 2534 17th Ave S Ste E, Grand Forks, ND 58201. The listed phone number is (701) 885-4551.

What is Kelsey Vivatson's specialty?

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

Is Kelsey Vivatson enrolled in Medicare?

Yes. Kelsey Vivatson is registered in the Medicare PECOS enrollment system.

What insurance does Kelsey Vivatson accept?

Health plans from Blue Cross Blue Shield of North Dakota list Kelsey Vivatson 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 Kelsey Vivatson was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.