MR. KEVAN GREENE MSW, LCSW
NPI 1861731002
Social Worker in Grand Forks, ND

Active since February 07, 2013PECOS EnrolledAccepts Medicare Assignment
860 S. COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-6697 Get Directions Write a Review

NPPES record last updated: November 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2021, Jul 18, 2019 (2 updates tracked since 2019).

About Mr. Kevan Greene Msw, Lcsw NPPES

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

MR. KEVAN GREENE MSW, LCSW (NPI 1861731002) is an individual social worker in Grand Forks, North Dakota, licensed in North Dakota (4610) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861731002
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. KEVAN GREENECredential: MSW, LCSW
Location Address860 S. COLUMBIA RDGrand Forks, ND 58201
Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-6468
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 7, 2013
Last NPPES UpdateNovember 4, 20212 updates tracked since enumeration
NPPES CertifiedNovember 4, 2021
✔ NPI 1861731002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ND · 4610
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 4610 (ND)
860 S. COLUMBIA RD, Grand Forks, ND 58201

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

Mr. Kevan Greene Msw, Lcsw 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 ID1052700911
PECOS Enrollment IDI20211115001389
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevan Greene reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1200 S COLUMBIA RD
Grand Forks, ND 58201
  • Reassigned Medicare billing, North Dakota enrollment
  • 701 clinicians in this Medicare group
Clinical
4200 JAMES DR # 305
Grand Forks, ND 58202
  • Reassigned Medicare billing, North Dakota enrollment
  • 2 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.

Other Providers at the Same Location NPPES 2

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

Counselor (Mental Health)
860 S. COLUMBIA RD
GRAND FORKS, ND 58201
Social Worker
860 S. COLUMBIA RD
GRAND FORKS, ND 58201

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 Kevan Greene's NPI number?

The NPI number for Kevan Greene is 1861731002. It was assigned to this individual provider in the NPPES registry on February 7, 2013.

Where is Kevan Greene located?

Kevan Greene practices at 860 S. Columbia Rd, Grand Forks, ND 58201. The listed phone number is (701) 780-6697.

What is Kevan Greene's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kevan Greene enrolled in Medicare?

Yes. Kevan Greene 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 Kevan Greene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevan Greene reassigns Medicare benefits to 2 organizations: Altru Health System (Grand Forks, ND) and Stage Of Change Therapy PLLC (Grand Forks, 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 Kevan Greene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevan Greene accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kevan Greene 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 Kevan Greene was last updated on November 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.