Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fred Michael Itveldt, MSN

Individual provider Nurse Practitioner · NPI 1619393204

Fred Michael Itveldt, MSN is a Nurse Practitioner in Spokane Valley, Washington. Qualified in 2013, 13 years ago. Practices with Mental Wellness Clinic of Coeur D Alene Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

12615 E Mission Ave Ste 310
Spokane Valley, WA 99216-1047
Phone: (509) 707-8581
Fax: (509) 443-5269
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP 60451837 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP60451837 (WA)

Record details

NPI number1619393204
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN
Sole proprietorYes
NPI enumeratedMarch 6, 2014
Last updated in NPPESSeptember 28, 2022
Certification dateSeptember 28, 2022
Mailing address12615 E Mission Ave Ste 310, Spokane Valley, WA 99216-1047

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mental Wellness Clinic Of Coeur D Alene Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spokane Valley