Ivana Ulicna Meservey, PMHNP-BC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

101.0137562 Issued in VT

Practice address

361 Autumn Pond Way Unit 202
Essex Junction, VT 05452-4142

Phone

(772) 204-6662

NPI assigned

Dec 20, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ivana Meservey Former name

Medicare fee-for-service enrollment

Enrolled in VT

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rutland Mental Health Services IncGroup PAC ID 6709850324, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rutland Regional Medical Center Hospital, Rutland, VT, CCN 470005

Medicare enrollment (NPD)

Enrolled

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.

• Rutland Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rutland, VT
  • NPI 1164417283
  Care Compare group

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

• Rutland Hospital, Inc.

  dba Rutland Regional Medical Center

  • General Acute Care Hospital
  • Rutland, VT
  • NPI 1720042203
  Care Compare affiliation

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1902614050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 AUTUMN POND WAY UNIT 202",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524142",
            "telephone_number": "772-204-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 AUTUMN POND WAY UNIT 202",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524142",
            "telephone_number": "772-204-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESERVEY",
        "first_name": "IVANA",
        "middle_name": "ULICNA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "101.0137562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVANA",
            "last_name": "MESERVEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ezra Maurer, M.A.
• Maybeck Counseling LLC
• Jared Walter Maybeck, LCMHC
• Margo Maybeck
• Morgan A Meier, LICSW, LMSW, LCSW
• Nancy Laura Middleton, M.D.
• Kristin Mills, CCC-SLP
• Milton Family Eyecare
• Matthew Joseph Minarski, RPH
• Mindful Balance Mental Health LLC

• Psychiatry Physician in Essex Junction, VT
• Providers in Essex Junction, VT by specialty
• Psychiatry Physician in Vermont

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

Verify at the official NPI Registry.