Elena Ivanova, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

78105 Issued in MN

Practice address

1300 Anne St NW
Bemidji, MN 56601-5103

Phone

(763) 210-9808

NPI assigned

Mar 25, 2021

Last updated

May 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Psychiatry

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Unity Health - NewportGroup PAC ID 2567870678, shared by 3 NPIs, 6 clinicians

Sanford Health of Northern MinnesotaGroup PAC ID 5597725168, 349 clinicians

White County Medical CenterGroup PAC ID 4880688654, 182 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unity Health - Jacksonville Hospital, Jacksonville, AR, CCN 040164
• Sanford Bemidji Medical Center Hospital, Bemidji, MN, CCN 240100

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Sanford Health of Northern Minnesota

  dba Sanford Health Kelliher Clinic

  • Family Medicine Physician
  • Kelliher, MN
  • NPI 1770849697
  Medicare reassignment Care Compare group NPD
• White County Medical Center

  dba Unity Health WCMC Hospitalist

  • Hospitalist Physician
  • Searcy, AR
  • NPI 1053662890
  Medicare reassignment Care Compare group NPD
• Unity Health - Newport

  • Critical Access Hospital
  • Newport, AR
  • NPI 1508450339
  Medicare reassignment NPD
• Unity Health - Newport

  dba Unity Health Newport Surgical

  • Surgery Physician
  • Newport, AR
  • NPI 1538808225
  Medicare reassignment NPD
• Sanford Health of Northern Minnesota

  dba Sanford Health Primewest Residential Support Center

  • Mental Illness Community Based Residential Treatment Facility
  • Bemidji, MN
  • NPI 1093278764
  NPD
• Sanford Health of Northern Minnesota

  dba Joe Lueken Cancer Center

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1780628149
  NPD
• White County Medical Center

  dba Unity Health Newport OB/GYN

  • Obstetrics & Gynecology Physician
  • Newport, AR
  • NPI 1740940220
  NPD
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Behavioral Health

  • Psychiatric Hospital Unit
  • Bemidji, MN
  • NPI 1649902370
  NPD (past)

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

• Sanford Health of Northern Minnesota

  dba Joe Lueken Cancer Center

  • Internal Medicine Physician
  • Bemidji, MN
  • NPI 1780628149

  Hospital

  Care Compare affiliation
• Sanford Health of Northern Minnesota

  dba Sanford Bemidji Medical Center

  • Rural Acute Care Hospital
  • Bemidji, MN
  • NPI 1801870191
  Care Compare affiliation
• Unity Health - Jacksonville

  • Psychiatric Hospital
  • Jacksonville, AR
  • NPI 1245954460
  Care Compare affiliation

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1770160889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074",
            "telephone_number": "605-328-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 ANNE ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015103",
            "telephone_number": "763-210-9808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2908 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Searcy",
            "state": "AR",
            "postal_code": "721434802",
            "country_code": "US",
            "telephone_number": "501-203-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVANOVA",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "78105",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ND",
            "license": "24327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent School District #31
• Keelyn Marie Ingmire, EDS, NCSP
• Trina Ingmire, M.A. CCC-SLP
• Integrative Health and Wellness, Inc.
• Kathleen Mary Irwin, PSY.D.
• Iverson Corner Drug Inc (Iverson Corner Drug)
• Iverson Corner Drug Inc
• Baley Lynn Iverson, PHARMD
• Paul Scott Iverson, BPHARM
• J and D Optical Inc. (Third Street Optical)

• Psychiatry Physician in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.

Verify at the official NPI Registry.