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

Kimberly Shamakian

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1871325563

Kimberly Shamakian is a Nurse Practitioner in Grand Forks, North Dakota. Qualified in 2024, 2 years ago. Practices with Peterson Medical Clinics LLC, a 89-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
2
Licensed in
OH
In the registry since
2024
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Practice location Address checks out

3674 S Washington St
Grand Forks, ND 58201-5766
Phone: (701) 205-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 508 Upland St, Kenai, AK 99611-8026 — (907) 335-7500
  • 206 W Rockwell Ave, Soldotna, AK 99669-7439 — (907) 335-7500

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 466159 (OH)

Record details

NPI number1871325563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Peterson Medical Clinics Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Grand Forks