MS. JACQUALINE KAY GERVAIS PMHNP
NPI 1336481803
Nurse Practitioner - Psychiatric/Mental Health in Moorhead, MN
About Ms. Jacqualine Kay Gervais Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JACQUALINE KAY GERVAIS PMHNP (NPI 1336481803) is an individual psychiatric/mental health provider in Moorhead, Minnesota, licensed in North Dakota (R32567) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted 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
Ms. Jacqualine Kay Gervais Pmhnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacqualine Gervais reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fargo, ND 58103
- Reassigned Medicare billing, North Dakota enrollment
- 65 clinicians in this Medicare group
Fargo, ND 58102
- Reassigned Medicare billing, Minnesota and North Dakota enrollments
- 6 clinicians in this Medicare group
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 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOORHEAD, MN 56560
MOORHEAD, MN 56560
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 Jacqualine Gervais's NPI number?
The NPI number for Jacqualine Gervais is 1336481803. It was assigned to this individual provider in the NPPES registry on March 22, 2013. The provider is also known as Mrs. Jacqualine Bleess Toppen Pmhnp.
Where is Jacqualine Gervais located?
Jacqualine Gervais practices at 819 30th Ave S Ste 206, Moorhead, MN 56560. The listed phone number is (218) 477-1353.
What is Jacqualine Gervais's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jacqualine Gervais enrolled in Medicare?
Yes. Jacqualine Gervais 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 organizations bill Medicare for Jacqualine Gervais's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacqualine Gervais reassigns Medicare benefits to 2 organizations: Psj Acquisition LLC (Fargo, ND) and Midwest Mental Health Clinic PLLC (Fargo, ND). 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 Jacqualine Gervais's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacqualine Gervais accept?
Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners and Sanford Health Plan list Jacqualine Gervais 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 Jacqualine Gervais was last updated on August 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Jacqualine Kay Gervais, PMHNP · NPI 1336481803
Psychiatric/Mental Health physician in Moorhead, Minnesota. Individual provider, active in the CMS NPPES registry since March 22, 2013.
## Identity
- **NPI:** 1336481803 (Entity type: Individual)
- **Enumerated:** March 22, 2013
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R32567 (North Dakota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 819 30TH AVE S STE 206, Moorhead, MN 56560-5054
- **Phone:** (218) 477-1353
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Psj Acquisition LLC (NPI 1679709802, Fargo, ND); Midwest Mental Health Clinic PLLC (NPI 1861877052, Fargo, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336481803) · Data from the CMS NPPES public registry.