PEACETREE FAMILY INSTITUTE LTD
NPI 1053002881
Psychologist - Clinical in Elk River, MN

Q: What is Peacetree Family Institute Ltd's NPI number?

The NPI number for Peacetree Family Institute Ltd is 1053002881. It was assigned to this organization in the NPPES registry on May 15, 2023.

Q: What is Peacetree Family Institute Ltd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since May 15, 2023

10741 185TH CIR NW, ELK RIVER, MN 55330(612) 203-0849 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 7, 2024, May 15, 2023 (2 updates tracked since 2023).

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About Peacetree Family Institute Ltd NPPES

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

PEACETREE FAMILY INSTITUTE LTD (NPI 1053002881) is a healthcare organization registered as a clinical in Elk River, Minnesota and active in the NPI registry since May 2023. The organization lists Melissa Nikovics, Owner, as its authorized official.

NPPES Registry Identity

NPI1053002881

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePEACETREE FAMILY INSTITUTE LTD

Location Address10741 185TH CIR NWElk River, MN 55330-5032

Mailing Address10741 185th Cir NwElk River, MN 55330-5032

Phone(612) 203-0849

Organization SubpartNo

Authorized OfficialMelissa NikovicsOwner · (612) 203-0849

Enumeration DateMay 15, 2023

Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2024

✔ NPI 1053002881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

10741 185TH CIR NW, Elk River, MN 55330

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peacetree Family Institute Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Peacetree Family Institute Ltd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Melissa Nikovics

Mental Health Counselor

NPI 1336791995

9245 QUANTRELLE AVE NE
Otsego, MN 55330

(763) 746-9492

✔ PECOS✔ Accepts Medicare1.8 mi

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

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 Peacetree Family Institute Ltd's NPI number?

The NPI number for Peacetree Family Institute Ltd is 1053002881. It was assigned to this organization in the NPPES registry on May 15, 2023.

Where is Peacetree Family Institute Ltd located?

Peacetree Family Institute Ltd is located at 10741 185th Cir NW, Elk River, MN 55330. The listed phone number is (612) 203-0849.

What is Peacetree Family Institute Ltd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Peacetree Family Institute Ltd enrolled in Medicare?

Yes. Peacetree Family Institute Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Peacetree Family Institute Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Peacetree Family Institute Ltd. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Peacetree Family Institute Ltd accept?

Health plans from HealthPartners list Peacetree Family Institute Ltd 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 Peacetree Family Institute Ltd was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.