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IVANA SPENCER
NPI 1063204469
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA

Active since May 21, 2025PECOS EnrolledAccepts Medicare Assignment
1601 WILLOW LAWN DR STE 304, THE SHOPS AT WILLOW LAWN #1283, RICHMOND, VA 23230(804) 825-2308(804) 964-9870 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 4, 2025, Sep 20, 2025, May 21, 2025 (3 updates tracked since 2025).

About Ivana Spencer NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVANA SPENCER (NPI 1063204469) is an individual psychiatric/mental health provider in Richmond, Virginia, licensed in Virginia (0024194447) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063204469
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIVANA SPENCER
Location Address1601 WILLOW LAWN DR STE 304, THE SHOPS AT WILLOW LAWN #1283Richmond, VA 23230-3423
Mailing Address1601 Willow Lawn Dr, Ste. 304, The Shops At Willow Lawn #1283Richmond, VA 23230-3427 · (757) 793-9483
Phone(804) 825-2308
Fax(804) 964-9870
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 21, 2025
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1063204469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024194447
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001284498 (VA)
1601 WILLOW LAWN DR STE 304, Richmond, VA 23230
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivana Spencer is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991296816
PECOS Enrollment IDI20251118002794
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23230 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMARA PETERSON
Counselor (Mental Health)
1601 WILLOW LAWN DR STE 304
RICHMOND, VA 23230
Henrico County (804) 381-4783
MARLON D TURNER CSAC-A; RPRS; CPRS-T
Peer Specialist
1601 WILLOW LAWN DR STE 304
RICHMOND, VA 23230
Henrico County (804) 634-7386

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivana Spencer's NPI number?

The NPI number for Ivana Spencer is 1063204469. It was assigned to this individual provider in the NPPES registry on May 21, 2025.

Where is Ivana Spencer located?

Ivana Spencer practices at 1601 Willow Lawn Dr Ste 304 The Shops At Willow Lawn #1283, Richmond, VA 23230. The listed phone number is (804) 825-2308.

What is Ivana Spencer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ivana Spencer enrolled in Medicare?

Yes. Ivana Spencer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ivana Spencer was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.