MRS. KARISSA MARIE KAUTZMAN L.P.C.C.
NPI 1578975173
Counselor - Professional in Mandan, ND
About Mrs. Karissa Marie Kautzman L.p.c.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KARISSA MARIE KAUTZMAN L.P.C.C. (NPI 1578975173) is an individual professional provider in Mandan, North Dakota, licensed in North Dakota (1204-6-15-22A) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bismarck, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
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
Mrs. Karissa Marie Kautzman L.p.c.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 Reassignments
2Medicare enrollment records show Karissa Kautzman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- 3 clinicians in this Medicare group
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- 16 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.
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 Karissa Kautzman's NPI number?
The NPI number for Karissa Kautzman is 1578975173. It was assigned to this individual provider in the NPPES registry on May 30, 2014. The provider is also known as Mrs. Karissa Marie Bauder.
Where is Karissa Kautzman located?
Karissa Kautzman practices at 2401 46th Ave SE Ste 102, Mandan, ND 58554. The listed phone number is (701) 595-3626.
What is Karissa Kautzman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Karissa Kautzman enrolled in Medicare?
Yes. Karissa Kautzman 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 Karissa Kautzman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karissa Kautzman reassigns Medicare benefits to 2 organizations: Trauma And Attachment Institute LLC (Bismarck, ND) and Decoteau Trauma-Informed Care & Practice, PLLC (Bismarck, ND). 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 Karissa Kautzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karissa Kautzman accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Karissa Kautzman 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 Karissa Kautzman was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mrs. Karissa Marie Kautzman, L.P.C.C. · NPI 1578975173
Professional provider in Mandan, North Dakota. Individual provider, active in the CMS NPPES registry since May 30, 2014.
## Identity
- **NPI:** 1578975173 (Entity type: Individual)
- **Enumerated:** May 30, 2014
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 1204-6-15-22A (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2401 46TH AVE SE STE 102, Mandan, ND 58554-4829
- **Phone:** (701) 595-3626
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Trauma And Attachment Institute LLC (NPI 1710704929, Bismarck, ND); Decoteau Trauma-Informed Care & Practice, PLLC (NPI 1174890016, Bismarck, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 14, 2025
- **Other identifiers:** Medicaid 3000 (ND)
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Source: [NPI Profile](https://npiprofile.com/npi/1578975173) · Data from the CMS NPPES public registry.