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

Koree Vivatson, APRN, CNP

Individual provider Family Nurse Practitioner · NPI 1508467788

Koree Vivatson, APRN, CNP is a Nurse Practitioner in West Fargo, North Dakota. Qualified in 2020, 6 years ago. Practices with Innovis Health LLC, a 573-clinician group and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
6
Licensed in
MN, ND
In the registry since
2020
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

1401 13th Ave E
West Fargo, ND 58078-3468
Phone: (701) 364-5751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R41374 (ND)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 7760 (MN)

Record details

NPI number1508467788
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , CNP
Sole proprietorNo
NPI enumeratedNovember 4, 2020
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Innovis Health Llc — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Fargo