DR. ELLEN J HALVERSON (M.D.) – Psychiatry Physician, NPI 1467478164

DR. ELLEN J HALVERSON (M.D.) is a healthcare provider. based in Pasadena, California. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 4152 (AK). The NPI Number for DR. ELLEN J HALVERSON (M.D.) is 1467478164

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLEN J HALVERSON (M.D.)
NPI
1467478164
Phone
(866) 747-2455
Address
PO BOX 31001-4162
Enumeration Date
14 July 2006
Last Update Date
25 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Secondary Phone
9077615800
Graduation Year
1987 (39 years ago)
PAC ID
9931299575
Group Practice PAC ID
8628965910
Professional Enrollment ID
I20071219000455
Address ID
AK996457457PA2250XLOOP426
Telehealth
Yes

Contacts

Secure Messaging
ehalverson9228@ak.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness95
Years active:19State licenses:1Other names

113 PSYCHIATRY in AK

Provider Addresses for DR. ELLEN J HALVERSON (M.D.)

  • PO BOX 31001-4162

    PASADENA, CA 911104162

    Phone: (866) 747-2455

    Type: Mailing

  • 2250 S WOODWORTH LOOP STE 202

    PALMER, AK 996457457

    Phone: (907) 921-5050

    Type: Location

  • 4105, Southwest 91st Avenue, West Slope, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972084105

    Phone: (866) 907-1068

    Fax: (425) 917-9141

    Type: Mailing

  • 2250 S WOODWORTH LOOP

    SUITE 202

    PALMER, AK 996457412

    Phone: (907) 761-5800

    Fax: (907) 761-5801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-12-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071219000455IPsychiatryAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour79761$0
99214Established patient office or other outpatient visit, 30-39 minutes334130$0
99213Established patient office or other outpatient visit, 20-29 minutes300151$0
90834Psychotherapy, 45 minutes22353$0
90832Psychotherapy, 30 minutes11031$0
View full utilization report →

Insurance plans in this area (ZIP 91110)

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Provider's Procedures

DR. ELLEN J HALVERSON (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYAK90853Group psychotherapy18318

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628965910View full group profile
NameSpecialtyState
Mental Health CounselorAK
Physician AssistantAK
P S Y C H I A T R YIN
Nurse PractitionerAK
Marriage And Family TherapistAK
-OR
Mental Health CounselorOR
Nurse PractitionerAK
Clinical Social WorkerAK
-OR

Reviews

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Frequently asked questions

What identifier follows DR. ELLEN J HALVERSON (M.D.) across health systems?
The NPI 1467478164 uniquely identifies DR. ELLEN J HALVERSON (M.D.) in U.S. healthcare data.
Is DR. ELLEN J HALVERSON (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ELLEN J HALVERSON (M.D.) as active.
What does the directory say DR. ELLEN J HALVERSON (M.D.) does?
Insurance directories may phrase it differently, but here DR. ELLEN J HALVERSON (M.D.) maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ELLEN J HALVERSON (M.D.)?
DR. ELLEN J HALVERSON (M.D.) shows a connection to Pasadena, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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