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FRED MICHAEL ITVELDT MSN
NPI 1619393204
Nurse Practitioner - Psychiatric/Mental Health in Spokane Valley, WA

Active since March 06, 2014PECOS EnrolledAccepts Medicare Assignment
12615 E MISSION AVE STE 310, SPOKANE VALLEY, WA 99216(509) 707-8581(509) 443-5269 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 28, 2022, Nov 6, 2018, Jul 26, 2017 (3 updates tracked since 2017).

About Fred Michael Itveldt Msn NPPES

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

FRED MICHAEL ITVELDT MSN (NPI 1619393204) is an individual psychiatric/mental health provider in Spokane Valley, Washington, licensed in Washington (AP 60451837) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1619393204
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameFRED MICHAEL ITVELDTCredential: MSN
Location Address12615 E MISSION AVE STE 310Spokane Valley, WA 99216-1047
Mailing Address12615 E Mission Ave Ste 310Spokane Valley, WA 99216-1047 · (509) 707-8581 · Fax (509) 443-5269
Phone(509) 707-8581
Fax(509) 443-5269
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 6, 2014
Last NPPES UpdateSeptember 28, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1619393204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP 60451837
Also ListedNurse PractitionerTaxonomy 363L00000X · License AP60451837 (WA)
12615 E MISSION AVE STE 310, Spokane Valley, WA 99216
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Fred Michael Itveldt Msn 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 ID4385867282
PECOS Enrollment IDI20140522000203, I20160630000068
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 3

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 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 services20 patients
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.
27 services15 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99216 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSYCHIATRIC SERVICES AND MEDICATION MANAGEMENT INC
Nurse Practitioner (Psychiatric/Mental Health)
12615 E MISSION AVE STE 310
SPOKANE VALLEY, WA 99216
Spokane County (509) 707-8581

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 Fred Itveldt's NPI number?

The NPI number for Fred Itveldt is 1619393204. It was assigned to this individual provider in the NPPES registry on March 6, 2014.

Where is Fred Itveldt located?

Fred Itveldt practices at 12615 E Mission Ave Ste 310, Spokane Valley, WA 99216. The listed phone number is (509) 707-8581.

What is Fred Itveldt's specialty?

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

Is Fred Itveldt enrolled in Medicare?

Yes. Fred Itveldt 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.

What insurance does Fred Itveldt accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Fred Itveldt 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 Fred Itveldt was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.