KIMBERLY SPIVACK MSN
NPI 1376357814
Nurse Practitioner - Acute Care in Glenwood, MN

Active since February 05, 2025PECOS EnrolledAccepts Medicare Assignment
10 4TH AVE SE, GLENWOOD, MN 56334(320) 634-4521 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Spivack Msn NPPES

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

KIMBERLY SPIVACK MSN (NPI 1376357814) is an individual acute care provider in Glenwood, Minnesota, licensed in Minnesota (12514) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Glacial Ridge Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1376357814
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKIMBERLY SPIVACKCredential: MSN
Location Address10 4TH AVE SEGlenwood, MN 56334-1820
Mailing Address1240 W Main StPaynesville, MN 56362-1040 · (701) 740-1890
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 5, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1376357814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MN · 12514
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 12514 (MN)
10 4TH AVE SE, Glenwood, MN 56334

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

Kimberly Spivack Msn 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 ID5799209490
PECOS Enrollment IDI20250403001488
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Glacial Ridge Hospital

Critical Access Hospitals · Glenwood, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241376
Location10 4th Avenue SoutheastGlenwood, MN 56334 · Pope County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56334 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 20

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

Nurse Practitioner (Family)
10 4TH AVE SE
GLENWOOD, MN 56334
Physical Therapist
10 4TH AVE SE
GLENWOOD, MN 56334
Speech-Language Pathologist
10 4TH AVE SE
GLENWOOD, MN 56334
Hospice Care, Community Based
10 4TH AVE SE
GLENWOOD, MN 56334
Nurse Practitioner (Family)
10 4TH AVE SE
GLENWOOD, MN 56334
Internal Medicine
10 4TH AVE SE
GLENWOOD, MN 56334
Physician Assistant
10 4TH AVE SE
GLENWOOD, MN 56334
Non-Pharmacy Dispensing Site
10 4TH AVE SE
GLENWOOD, MN 56334

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 Kimberly Spivack's NPI number?

The NPI number for Kimberly Spivack is 1376357814. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Kimberly Spivack located?

Kimberly Spivack practices at 10 4th Ave SE, Glenwood, MN 56334. The listed phone number is (320) 634-4521.

What is Kimberly Spivack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kimberly Spivack enrolled in Medicare?

Yes. Kimberly Spivack 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 Kimberly Spivack accept?

Health plans from Medica and Sanford Health Plan list Kimberly Spivack 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.

Is Kimberly Spivack affiliated with any hospitals?

According to CMS data, Kimberly Spivack is affiliated with Glacial Ridge Hospital.

When was this NPI record last updated?

The NPPES record for Kimberly Spivack was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.