KIMBERLY SPIVACK FNP-C
NPI 1376357814
Nurse Practitioner - Family in Grand Forks, ND
About Kimberly Spivack Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY SPIVACK FNP-C (NPI 1376357814) is an individual family provider in Grand Forks, North Dakota, licensed in North Dakota (204796) 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
Specialties & Licenses 2
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
Kimberly Spivack Fnp-c 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 Reassignment
Medicare enrollment records show Kimberly Spivack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Starbuck, MN 56381
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1538178520 (Minnesota)
- 111 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.
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, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58201 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND FORKS, ND 58201
GRAND FORKS, ND 58201
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 1300 S Columbia Rd, Grand Forks, ND 58201. The listed phone number is (701) 780-5000.
What is Kimberly Spivack's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
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.
Which organization bills Medicare for Kimberly Spivack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Spivack reassigns Medicare benefits to Glacial Ridge Hospital District (Starbuck, MN). The 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 Kimberly Spivack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Spivack accept?
Health plans from 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 September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.
# Kimberly Spivack, FNP-C · NPI 1376357814
Family physician in Grand Forks, North Dakota. Individual provider, active in the CMS NPPES registry since February 5, 2025.
## Identity
- **NPI:** 1376357814 (Entity type: Individual)
- **Enumerated:** February 5, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 204796 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1300 S COLUMBIA RD, Grand Forks, ND 58201-4012
- **Phone:** (701) 780-5000
## 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:** Glacial Ridge Hospital District (NPI 1063952026, Starbuck, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** September 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376357814) · Data from the CMS NPPES public registry.