KALA ANN POZIVILKO PMHNP-C
NPI 1669042990
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI

Active since June 29, 2021PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909(616) 336-8830 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 23, 2023, Jun 29, 2021 (2 updates tracked since 2021).

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

NPI1669042990
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKALA ANN POZIVILKOCredential: PMHNP-C
Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918
Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909 · Fax (616) 336-8830
Fax(616) 336-8830
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 29, 2021
Last NPPES UpdateFebruary 16, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
NPI 1669042990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MI · 2021035112
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704326670 (MI)
Also ListedClinical Nurse Specialist · Psychiatric/Mental Health, AdultTaxonomy 364SP0809X · License 4704326670 (MI)
790 FULLER AVE NE, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 1175 N Groesbeck HwyMount Clemens, MI 48043-1562 · Phone (616) 301-8000

Accepted 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

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.

PECOS PAC ID345638052
PECOS Enrollment IDI20230712003074
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

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.
37 services19 patients

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.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Behavior Analyst
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Case Manager/Care Coordinator
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Counselor (Professional)
790 FULLER AVE NE
GRAND RAPIDS, MI 49503
Social Worker
790 FULLER AVE NE
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.

What insurance does Kala Pozivilko accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers 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 5 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.