KATHLEEN UDOVICH APRN
NPI 1386398139
Nurse Practitioner - Psychiatric/Mental Health in Virginia, MN
About Kathleen Udovich Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN UDOVICH APRN (NPI 1386398139) is an individual psychiatric/mental health provider in Virginia, Minnesota, licensed in Minnesota (9004) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Kathleen Udovich Aprn 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 Kathleen Udovich reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Virginia, MN 55792
- Reassigned Medicare billing, Minnesota enrollment
- 23 clinicians in this Medicare group
Ely, MN 55731
- Reassigned Medicare billing, Minnesota enrollment
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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55792 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 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIRGINIA, MN 55792
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 Kathleen Udovich's NPI number?
The NPI number for Kathleen Udovich is 1386398139. It was assigned to this individual provider in the NPPES registry on February 10, 2022.
Where is Kathleen Udovich located?
Kathleen Udovich practices at 624 13th St S, Virginia, MN 55792. The listed phone number is (218) 749-2881.
What is Kathleen Udovich's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kathleen Udovich enrolled in Medicare?
Yes. Kathleen Udovich 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 Kathleen Udovich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Udovich reassigns Medicare benefits to 2 organizations: Range Mental Health Center (Virginia, MN) and White Iron Behavioral Health Services, Plc (Ely, MN). 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 Kathleen Udovich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Udovich accept?
Health plans from HealthPartners list Kathleen Udovich 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 Kathleen Udovich was last updated on February 10, 2022. 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.
# Kathleen Udovich, APRN · NPI 1386398139
Psychiatric/Mental Health physician in Virginia, Minnesota. Individual provider, active in the CMS NPPES registry since February 10, 2022.
## Identity
- **NPI:** 1386398139 (Entity type: Individual)
- **Enumerated:** February 10, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 9004 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 624 13TH ST S, Virginia, MN 55792-3149
- **Phone:** (218) 749-2881
## 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): Range Mental Health Center (NPI 1457452823, Virginia, MN); White Iron Behavioral Health Services, Plc (NPI 1619665379, Ely, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 10, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1386398139) · Data from the CMS NPPES public registry.