KOREE VIVATSON APRN,CNP
NPI 1508467788
Nurse Practitioner - Family in West Fargo, ND

Q: What is Koree Vivatson's NPI number?

The NPI number for Koree Vivatson is 1508467788. It was assigned to this individual provider in the NPPES registry on November 4, 2020.

Q: What is Koree Vivatson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Koree Vivatson was last updated on November 4, 2020. 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.

Active since November 04, 2020PECOS EnrolledAccepts Medicare Assignment

1401 13TH AVE E, WEST FARGO, ND 58078(701) 364-5751 Get Directions Write a Review

NPPES record last updated: November 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Koree Vivatson Aprn,cnp NPPES

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

KOREE VIVATSON APRN,CNP (NPI 1508467788) is an individual family provider in West Fargo, North Dakota, licensed in North Dakota (R41374) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Essentia Health, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1508467788

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKOREE VIVATSONCredential: APRN,CNP

Location Address1401 13TH AVE EWest Fargo, ND 58078-3468

Mailing Address1702 University Dr SFargo, ND 58103-4940

Phone(701) 364-5751

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 4, 2020

NPPES CertifiedNovember 4, 2020

✔ NPI 1508467788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in ND · R41374✔ Licensed in MN · 7760

1401 13TH AVE E, West Fargo, ND 58078

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica.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

Koree Vivatson Aprn,cnp 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 ID4789095084

PECOS Enrollment IDI20201117002256, I20201125001951

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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

61 services59 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services33 patients

Hospital Affiliations CMS Care Compare

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

Essentia Health

Acute Care Hospitals · Fargo, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350070

Location3000 32nd Ave SouthFargo, ND 58104 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58078 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

TERI J BREKKE MPT

Physical Therapist