Individual provider Active NPI

Ivona Novakovich

  • Adult Health Nurse Practitioner
  • St Petersburg, FL
National Provider Identifier
1427730282
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11031039 Issued in FL
Practice address
603 7TH St S Ste 100
St Petersburg, FL 33701-4719
Phone
(727) 553-7431
Fax
(727) 553-7432
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9487766 FL
Adult Health Nurse Practitioner 363LA2200X APRN11031039 FL Primary

Addresses

Primary practice location

603 7TH St S Ste 100
St Petersburg, FL 33701-4719

Mailing address

603 7TH St S Ste 100
St Petersburg, FL 33701-4719
Phone (727) 553-7431

Other practice location 1

201 14th St SW
Largo, FL 33770-3133
Phone (727) 588-5570

Other identifiers 1

IdentifierTypeStateIssuer
124035000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004744 FL Practitioner - Nurse Practitioner 8325588304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celebration Orthopedic and Sports Medicine Institute Inc. 20 clinicians

Practice addresses (Care Compare)

2954 Mallory Cir
Suite 101
Celebration, FL 34747-1822
Phone (321) 939-0222

Hospital & facility affiliations

  • HCA Florida Osceola Hospital Hospital, Kissimmee, FL, CCN 100110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9487766FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Vitalmd Group Holding LLC CurrentSince Sep 2, 2025 Accepting new patients
Ohi West Medical Group, LLC CurrentSince Aug 1, 2024 Accepting new patients
Ohi West Medical Group, LLC Current Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

603 7th St S
Ste 500
St Petersburg, FL 33701
Phone (727) 822-0442

603 7th St S
Ste 100
St Petersburg, FL 33701
Phone (727) 553-7240

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1427730282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-553-7431",
            "fax_number": "727-553-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 100",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014719",
            "telephone_number": "727-553-7431",
            "fax_number": "727-553-7432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 14th St SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703133",
            "country_code": "US",
            "telephone_number": "727-588-5570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVAKOVICH",
        "first_name": "IVONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9487766",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11031039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124035000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.