Peacetree Family Institute Ltd
NPI 1053002881 · Clinical Psychologist · Elk River, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peacetree Family Institute Ltd is a Clinical Psychologist organization in Elk River, MN (NPI 1053002881).
Provider details
- NPI number
- 1053002881
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Nikovics, Owner(612) 203-0849
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-15
- Last updated
- 2024-01-09
- Certified
- 2024-01-09
Frequently asked questions
- What is Peacetree Family Institute Ltd's NPI number?
- Peacetree Family Institute Ltd's National Provider Identifier (NPI) is 1053002881, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Peacetree Family Institute Ltd?
- Peacetree Family Institute Ltd is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Peacetree Family Institute Ltd located?
- Peacetree Family Institute Ltd's practice location on file with NPPES is 10741 185th Cir Nw, Elk River, MN 55330-5032.
- What is Peacetree Family Institute Ltd's phone number?
- The practice phone number listed in the NPPES registry for Peacetree Family Institute Ltd is (612) 203-0849.
- Does Peacetree Family Institute Ltd accept Medicare?
- Peacetree Family Institute Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Peacetree Family Institute Ltd?
- The authorized official listed on Peacetree Family Institute Ltd's NPPES record is Melissa Nikovics, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Peacetree Family Institute Ltd's NPI active?
- Yes — Peacetree Family Institute Ltd's NPI (1053002881) is active in the NPPES registry as of the last update on 2024-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.