MS. JACQUALINE KAY GERVAIS PMHNP
NPI 1336481803
Nurse Practitioner - Psychiatric/Mental Health in Moorhead, MN

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
819 30TH AVE S STE 206, MOORHEAD, MN 56560(218) 477-1353 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2021, Aug 11, 2021, Jul 27, 2021 and 2 more (5 updates tracked since 2017).

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 and is a graduate of Other (2012).

NPPES Registry Identity

NPI1336481803
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. JACQUALINE KAY GERVAISCredential: PMHNP
Location Address819 30TH AVE S STE 206Moorhead, MN 56560-5054
Mailing Address819. 30 Ave S Office 206Moorhead, MN 56560 · (218) 233-2288
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 22, 2013
Last NPPES UpdateAugust 23, 20215 updates tracked since enumeration
NPPES CertifiedAugust 23, 2021
NPI 1336481803 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
License Licensed in ND · R32567
819 30TH AVE S STE 206, Moorhead, MN 56560

Other Names 1

Former Name (1)Mrs. Jacqualine Bleess Toppen Pmhnp

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 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.

PECOS PAC ID1658519632
PECOS Enrollment IDI20130603000617, I20230831004655
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 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 2

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

Nurse Practitioner (Psychiatric/Mental Health)
819 30TH AVE S STE 206
MOORHEAD, MN 56560
Clinic/Center (Adult Mental Health)
819 30TH AVE S STE 206
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.

What insurance does Jacqualine Gervais accept?

Health plans from Blue Cross Blue Shield of North Dakota, HealthPartners, Medica 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 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.