KALA ANN POZIVILKO PMHNP-C
NPI 1669042990
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI
About Kala Ann Pozivilko Pmhnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALA ANN POZIVILKO PMHNP-C (NPI 1669042990) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (2021035112) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mount Clemens, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 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
Kala Ann Pozivilko Pmhnp-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
8Medicare enrollment records show Kala Pozivilko reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 164 clinicians in this Medicare group
Grand Rapids, MI 49506
- Reassigned Medicare billing, Michigan enrollment
- 59 clinicians in this Medicare group
Sparta, MI 49345
- Reassigned Medicare billing, Michigan enrollment
- 23 clinicians in this Medicare group
Nunica, MI 49448
- Reassigned Medicare billing, Michigan enrollment
- 31 clinicians in this Medicare group
Saginaw, MI 48603
- Reassigned Medicare billing, Michigan enrollment
- 43 clinicians in this Medicare group
Saginaw, MI 48602
- Reassigned Medicare billing, Michigan enrollment
- 52 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 20 clinicians in this Medicare group
Clinton Twp, MI 48036
- Reassigned Medicare billing, Michigan enrollment
- 120 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.
Areas of Expertise CMS Part B claims
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 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GRAND RAPIDS, MI 49503
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 Kala Pozivilko's NPI number?
The NPI number for Kala Pozivilko is 1669042990. It was assigned to this individual provider in the NPPES registry on June 29, 2021.
Where is Kala Pozivilko located?
Kala Pozivilko practices at 790 Fuller Ave NE, Grand Rapids, MI 49503. The listed phone number is (616) 336-3909.
What is Kala Pozivilko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kala Pozivilko enrolled in Medicare?
Yes. Kala Pozivilko 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 Kala Pozivilko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kala Pozivilko reassigns Medicare benefits to 8 organizations: Kent County Cmh Authority (Grand Rapids, MI), Hope Network - Rehabilitation Services (Grand Rapids, MI), Hope Network West Michigan (Sparta, MI), Hope Network Behavioral Health Services (Nunica, MI), Alternative Community Living, Inc. (Saginaw, MI) and 3 more organizations, listed in the Medicare section above. 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 Kala Pozivilko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kala Pozivilko accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Kala Pozivilko 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 Kala Pozivilko was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Kala Ann Pozivilko, PMHNP-C · NPI 1669042990
Psychiatric/Mental Health physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since June 29, 2021.
## Identity
- **NPI:** 1669042990 (Entity type: Individual)
- **Enumerated:** June 29, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2021035112 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 790 FULLER AVE NE, Grand Rapids, MI 49503-1918
- **Phone:** (616) 336-3909 · **Fax:** (616) 336-8830
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Kent County Cmh Authority (NPI 1194617811, Grand Rapids, MI); Hope Network - Rehabilitation Services (NPI 1528043544, Grand Rapids, MI); Hope Network West Michigan (NPI 1679558670, Sparta, MI); Hope Network Behavioral Health Services (NPI 1043295934, Nunica, MI); Alternative Community Living, Inc. (NPI 1619181229, Saginaw, MI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1669042990) · Data from the CMS NPPES public registry.