KATRINA IVORY PMHNP-BC
NPI 1063362853
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI
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 and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Katrina Ivory Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Katrina Ivory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Southfield, MI 48034
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48221
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.
Which organization bills Medicare for Katrina Ivory's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katrina Ivory reassigns Medicare benefits to Mindshift & Wellness PLLC (Southfield, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katrina Ivory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katrina Ivory accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and UnitedHealthcare list Katrina Ivory as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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 7 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.
# Katrina Ivory, PMHNP-BC · NPI 1063362853
Psychiatric/Mental Health physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since January 30, 2026.
## Identity
- **NPI:** 1063362853 (Entity type: Individual)
- **Enumerated:** January 30, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704377051 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 11000 W MCNICHOLS RD STE 3231029, Detroit, MI 48221-2357
- **Phone:** (313) 649-5188
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mindshift & Wellness PLLC (NPI 1598692089, Southfield, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1063362853) · Data from the CMS NPPES public registry.