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VINCENT ADJETEY MD
NPI 1093200420
Pediatrics in Watford City, ND

Active since June 27, 2018PECOS Enrolled
709 4TH AVE NE, WATFORD CITY, ND 58854(701) 842-3771(701) 842-6248 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2021, Jun 27, 2018 (2 updates tracked since 2018).

About Vincent Adjetey Md NPPES

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

VINCENT ADJETEY MD (NPI 1093200420) is an individual pediatrics provider in Watford City, North Dakota, licensed in North Dakota (17144) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093200420
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameVINCENT ADJETEYCredential: MD
Location Address709 4TH AVE NEWatford City, ND 58854-7628
Mailing Address709 4th Ave NeWatford City, ND 58854-7628 · (701) 842-3771 · Fax (701) 842-6248
Phone(701) 842-3771
Fax(701) 842-6248
Sole ProprietorNo
Enumeration DateJune 27, 2018
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1093200420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in ND · 17144
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
709 4TH AVE NE, Watford City, ND 58854
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vincent Adjetey Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vincent Adjetey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Coastal Children's Clinic PA
1,419 mi
Pediatrics
3435 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 31 clinicians in this Medicare group
NPI 1164471116 (361) 855-7346
Children's Physician Services Of South Texas
1,419 mi
Plastic Surgery
3533 S ALAMEDA ST
Corpus Christi, TX 78411
  • Reassigned Medicare billing, Texas enrollment
  • 510 clinicians in this Medicare group
NPI 1568658227 (361) 694-4444

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 58854 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.

RYLAN JAMES BRANTL MD
Family Medicine
709 4TH AVE NE
WATFORD, ND 58854
McKenzie County (701) 842-3000
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Clinic/Center
709 4TH AVE NE
WATFORD CITY, ND 58854
McKenzie County (701) 842-3771
MRS. AFTON MCKENZIE SCHAPER FNP
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
McKenzie County (701) 842-3740
MRS. JESSICA M COMEAU FNP
Nurse Practitioner (Family)
709 4TH AVE NE
WATFORD CITY, ND 58854
McKenzie County (701) 842-3771
MCKENZIE COUNTY HEALTHCARE SYSTEMS INC
Non-Pharmacy Dispensing Site
709 4TH AVE NE
WATFORD CITY, ND 58854
McKenzie County (701) 842-3771
DR. DAVID PAUL HARRIES MD
Pain Medicine (Interventional Pain Medicine)
709 4TH AVE NE, PAIN MANAGEMENT CLINIC
WATFORD CITY, ND 58854
McKenzie County (701) 842-3000
DR. GARY W RAMAGE M.D.
General Practice
709 4TH AVE NE
WATFORD CITY, ND 58854
McKenzie County (701) 842-3000
MICHELLE WISEHART BA
Case Manager/Care Coordinator
709 4TH AVE NE
WATFORD CITY, ND 58854
McKenzie County (701) 334-2381

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 Vincent Adjetey's NPI number?

The NPI number for Vincent Adjetey is 1093200420. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Where is Vincent Adjetey located?

Vincent Adjetey practices at 709 4th Ave NE, Watford City, ND 58854. The listed phone number is (701) 842-3771.

What is Vincent Adjetey's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Vincent Adjetey enrolled in Medicare?

Yes. Vincent Adjetey is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Vincent Adjetey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vincent Adjetey reassigns Medicare benefits to 2 organizations: Coastal Children's Clinic PA (Corpus Christi, TX) and Children's Physician Services Of South Texas (Corpus Christi, TX). Each 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 Vincent Adjetey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vincent Adjetey accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Vincent Adjetey 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 Vincent Adjetey was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.