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KATRINA IVORY PMHNP-BC
NPI 1063362853
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since January 30, 2026PECOS Enrolled
11000 W MCNICHOLS RD STE 3231029, DETROIT, MI 48221(313) 649-5188 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Jan 30, 2026 (2 updates tracked since 2026).

About Katrina Ivory Pmhnp-bc NPPES

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

KATRINA IVORY PMHNP-BC (NPI 1063362853) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (4704377051) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063362853
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATRINA IVORYCredential: PMHNP-BC
Location Address11000 W MCNICHOLS RD STE 3231029Detroit, MI 48221-2357
Mailing Address11000 W Mcnichols Rd Ste 3231029Detroit, MI 48221-2357 · (313) 649-5188
Phone(313) 649-5188
Sole ProprietorNo
Enumeration DateJanuary 30, 2026
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1063362853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MI · 4704377051✔ Licensed in OH · 0041323
11000 W MCNICHOLS RD STE 3231029, Detroit, MI 48221
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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 (PECOS)

Katrina Ivory Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48221 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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

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

DARLENE PRINCESS WASHINGTON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11000 W MCNICHOLS RD STE 3231029
DETROIT, MI 48221
Wayne County (313) 338-8827

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 Katrina Ivory's NPI number?

The NPI number for Katrina Ivory is 1063362853. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is Katrina Ivory located?

Katrina Ivory practices at 11000 W Mcnichols Rd Ste 3231029, Detroit, MI 48221. The listed phone number is (313) 649-5188.

What is Katrina Ivory's specialty?

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

Is Katrina Ivory enrolled in Medicare?

Yes. Katrina Ivory is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katrina Ivory was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.