TRAVELING LIGHT PSYCHIATRIC SERVICES
NPI 1508747486
Nurse Practitioner - Psychiatric/Mental Health in Baxter, MN

Active since September 09, 2025
13040 KINGWOOD DR, BAXTER, MN 56425(218) 454-0499 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Traveling Light Psychiatric Services NPPES

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

TRAVELING LIGHT PSYCHIATRIC SERVICES (NPI 1508747486) is a healthcare organization registered as a psychiatric/mental health in Baxter, Minnesota and active in the NPI registry since September 2025. The organization lists Kristin Doucette, Owner, as its authorized official.

NPPES Registry Identity

NPI1508747486
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTRAVELING LIGHT PSYCHIATRIC SERVICES
Location Address13040 KINGWOOD DRBaxter, MN 56425-8382
Mailing Address13040 Kingwood DrBaxter, MN 56425-8382 · (218) 454-0499
Organization SubpartNo
Authorized OfficialKristin DoucetteOwner · (218) 851-4102
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1508747486 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
13040 KINGWOOD DR, Baxter, MN 56425

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Traveling Light Psychiatric Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Traveling Light Psychiatric Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1568229698
811 2ND ST SE
Little Falls, MN 56345
(320) 631-7000
✔ PECOS✔ Accepts Medicare26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Traveling Light Psychiatric Services's NPI number?

The NPI number for Traveling Light Psychiatric Services is 1508747486. It was assigned to this organization in the NPPES registry on September 9, 2025.

Where is Traveling Light Psychiatric Services located?

Traveling Light Psychiatric Services is located at 13040 Kingwood Dr, Baxter, MN 56425. The listed phone number is (218) 454-0499.

What is Traveling Light Psychiatric Services's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Traveling Light Psychiatric Services enrolled in Medicare?

Yes. Traveling Light Psychiatric Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Traveling Light Psychiatric Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Traveling Light Psychiatric Services. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Traveling Light Psychiatric Services was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.