Active NPI
Ivona Novakovich
- Adult Health Nurse Practitioner
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN11031039
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124035000 | Medicaid | FL |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
Practice addresses (Care Compare)
2954 Mallory Cir
Suite 101
Celebration, FL 34747-1822
Phone (321) 939-0222
Hospital & facility affiliations
- HCA Florida Osceola Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9487766 | FL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohi West Medical Group, LLC | Current | Accepting new patients | |
| Vitalmd Group Holding LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Current | 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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Kissimmee, FL
- NPI 1285595660
-
- Orthopaedic Surgery Physician
- Celebration, FL
- NPI 1558438036
-
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1659254456
-
- Orthopaedic Surgery Physician
- Debary, FL
- NPI 1710869243
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
-
- Urgent Care Clinic/Center
- Saint Petersburg, FL
- NPI 1619583184
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.