ANITA MARIE HANDEVIDT (RN CNP CNS) – Clinical Nurse Specialist, NPI 1891705968

ANITA MARIE HANDEVIDT (RN CNP CNS) is a healthcare provider. based in Jackson, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials RN CNP CNS. They hold a License No. R0902409 (MN). The NPI Number for ANITA MARIE HANDEVIDT (RN CNP CNS) is 1891705968

Main info

Female
28 Years Of Experience
Name
ANITA MARIE HANDEVIDT (RN CNP CNS)
NPI
1891705968
Phone
(507) 847-2423
Address
401 WEST ST
Enumeration Date
9 August 2006
Last Update Date
3 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5072210005
Graduation Year
1998 (28 years ago)
PAC ID
5698720910
Group Practice PAC ID
0840692018
Professional Enrollment ID
I20050321000028
Address ID
MN561011694WI339XXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for ANITA MARIE HANDEVIDT (RN CNP CNS)

  • 401, West Street, Jackson, Jackson County, Minnesota, 56143, United States

    JACKSON, MN 561431219

    Phone: (507) 847-2423

    Fax: (507) 847-2422

    Type: Location

  • Southwestern Mental Health Center, 117, South Spring Street, Luverne, Rock County, Minnesota, 56156, United States

    PO BOX 686

    LUVERNE, MN 561561916

    Phone: (507) 283-9511

    Fax: (507) 283-9514

    Type: Mailing

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: 2005-03-21

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
I20050321000028INurse PractitionerMNTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4513$0
View full utilization report →

Insurance plans in this area (ZIP 56143)

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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: 0840692018View full group profile
NameSpecialtyState
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Where can patients find ANITA MARIE HANDEVIDT (RN CNP CNS)'s NPI?
You can confirm ANITA MARIE HANDEVIDT (RN CNP CNS) with NPI 1891705968; it appears in the national provider directory.
Is ANITA MARIE HANDEVIDT (RN CNP CNS)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANITA MARIE HANDEVIDT (RN CNP CNS) list a primary specialty?
If you are matching referrals, note Clinical Nurse Specialist for ANITA MARIE HANDEVIDT (RN CNP CNS). Clinical services aligned with this taxonomy classification.
Does ANITA MARIE HANDEVIDT (RN CNP CNS) practice in Minnesota?
You will see Jackson, Minnesota on file for ANITA MARIE HANDEVIDT (RN CNP CNS) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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