PROVIDENCE PSYCHIATRY SERVICES, LTD.
NPI 1871942953
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Rapids, MN

Active since June 08, 2016
502 SE 10TH ST, GRAND RAPIDS, MN 55744(218) 246-6286 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2025, Jun 27, 2016 (2 updates tracked since 2016).

About Providence Psychiatry Services, Ltd. NPPES

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

PROVIDENCE PSYCHIATRY SERVICES, LTD. (NPI 1871942953) is a healthcare organization registered as a mental health (including community mental health center) in Grand Rapids, Minnesota and active in the NPI registry since June 2016. The organization lists Jean M Vaneps, Psychiatric Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1871942953
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePROVIDENCE PSYCHIATRY SERVICES, LTD.
Location Address502 SE 10TH STGrand Rapids, MN 55744-3921
Mailing Address12860 Mud Lake Rd Ne, Box 631Deer River, MN 56636-2174 · (218) 398-1998
Organization SubpartNo
Authorized OfficialJean M VanepsPsychiatric Nurse Practitioner · (218) 398-1998
Enumeration DateJune 8, 2016
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
✔ NPI 1871942953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in MN · CNP2221
502 SE 10TH ST, Grand Rapids, MN 55744

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Psychiatry Services, Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Providence Psychiatry Services, Ltd., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1942642681
502 SE 10TH ST
Grand Rapids, MN 55744
(218) 246-6286
✔ PECOS✔ Accepts MedicareSame address

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 Providence Psychiatry Services, Ltd.'s NPI number?

The NPI number for Providence Psychiatry Services, Ltd. is 1871942953. It was assigned to this organization in the NPPES registry on June 8, 2016.

Where is Providence Psychiatry Services, Ltd. located?

Providence Psychiatry Services, Ltd. is located at 502 SE 10th St, Grand Rapids, MN 55744. The listed phone number is (218) 246-6286.

What is Providence Psychiatry Services, Ltd.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Providence Psychiatry Services, Ltd. enrolled in Medicare?

Yes. Providence Psychiatry Services, Ltd. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Psychiatry Services, Ltd.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Providence Psychiatry Services, Ltd.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Providence Psychiatry Services, Ltd. accept?

Health plans from HealthPartners list Providence Psychiatry Services, Ltd. 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 Providence Psychiatry Services, Ltd. was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.