DR. AMY J LAVALLA DNP, PMHNP-BC, APRN
NPI 1215312236
Nurse Practitioner - Psychiatric/Mental Health in Moorhead, MN

Q: What is Amy Lavalla's NPI number?

The NPI number for Amy Lavalla is 1215312236. It was assigned to this individual provider in the NPPES registry on July 21, 2015.

Q: What is Amy Lavalla's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Lavalla was last updated on January 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 21, 2015PECOS Enrolled

1132 28TH AVE S STE 102, MOORHEAD, MN 56560(218) 512-0630 Get Directions Write a Review

NPPES record last updated: January 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 10, 2023, Oct 28, 2022, Dec 23, 2016 (3 updates tracked since 2016).

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About Dr. Amy J Lavalla Dnp, Pmhnp-bc, Aprn NPPES

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

DR. AMY J LAVALLA DNP, PMHNP-BC, APRN (NPI 1215312236) is an individual psychiatric/mental health provider in Moorhead, Minnesota, licensed in Minnesota (CNP 4017) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1215312236

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. AMY J LAVALLACredential: DNP, PMHNP-BC, APRN

Location Address1132 28TH AVE S STE 102Moorhead, MN 56560-4420

Mailing Address1132 28th Ave S Ste 102Moorhead, MN 56560-4420 · (218) 512-0630

Phone(218) 512-0630

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 21, 2015

Last NPPES UpdateJanuary 10, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 10, 2023

✔ NPI 1215312236 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 MN · CNP 4017✔ Licensed in ND · R37868

1132 28TH AVE S STE 102, Moorhead, MN 56560

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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 (PECOS)

Dr. Amy J Lavalla Dnp, Pmhnp-bc, Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224344890

PECOS Enrollment IDI20160510001346

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

Medicare enrollment records show Amy Lavalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Slv Group, LLC

Same address

Psychiatric/Mental Health

1132 28TH AVE S STE 102
Moorhead, MN 56560

Reassigned Medicare billing, Minnesota enrollment
5 clinicians in this Medicare group

NPI 1285352872 (218) 512-0630

Psj Acquisition LLC

1.8 mi

Psychiatric Hospital

510 4TH ST S
Fargo, ND 58103

Reassigned Medicare billing, North Dakota enrollment
65 clinicians in this Medicare group

NPI 1679709802 (701) 476-7200

Cos PLLC

151 mi

Adult Mental Health

384 3RD ST NE
Waite Park, MN 56387

Reassigned Medicare billing, Minnesota enrollment
6 clinicians in this Medicare group

NPI 1083317812 (320) 250-9188

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

247 services43 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

171 services41 patients

Psychotherapy with evaluation and management visit, 1 hour 90838

Psychotherapy with evaluation and management is a one-hour session where a mental health professional assesses your psychological state and discusses treatment options. This process aims to understand your feelings, thoughts, and behaviors to improve your overall well-being.

40 services11 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

31 services12 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

28 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56560 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 5

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

ALECSIS MAKAY ZIMMER LPCC

Counselor (Professional)