IVAN RACADAG AGPCNP-BC
NPI 1083062392
Nurse Practitioner - Adult Health in Ashburn, VA

Q: What is Ivan Racadag's NPI number?

The NPI number for Ivan Racadag is 1083062392. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Q: What is Ivan Racadag's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Ivan Racadag was last updated on June 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.

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment

20130 LAKEVIEW CENTER PLZ STE 400, ASHBURN, VA 20147(551) 295-8223 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 11, 2025, Jan 24, 2017, Sep 28, 2016 (3 updates tracked since 2016).

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About Ivan Racadag Agpcnp-bc NPPES

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

IVAN RACADAG AGPCNP-BC (NPI 1083062392) is an individual adult health provider in Ashburn, Virginia, licensed in Virginia (0024173957) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1083062392

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameIVAN RACADAGCredential: AGPCNP-BC

Location Address20130 LAKEVIEW CENTER PLZ STE 400Ashburn, VA 20147-5905

Mailing Address2 University Plz Ste 204Hackensack, NJ 07601-6211 · (551) 295-8223

Phone(551) 295-8223

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 26, 2016

Last NPPES UpdateJune 11, 20263 updates tracked since enumeration

NPPES CertifiedJune 11, 2026

✔ NPI 1083062392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in VA · 0024173957

Also ListedRegistered NurseTaxonomy 163W00000X · License 0001230039 (VA)

20130 LAKEVIEW CENTER PLZ STE 400, Ashburn, VA 20147

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Secondary Practice Locations 2

Location 11604 Spring Hill Rd, Suite 450Vienna, VA 22182-7510 · Phone (571) 599-5643 · Fax (703) 270-4350

Location 239 V St NEWashington, DC 20002-1329 · Phone (551) 295-8223

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan Racadag Agpcnp-bc 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 ID648568121

PECOS Enrollment IDI20220606002978, I20221014000233

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.

Medicare Billing Reassignments

Medicare enrollment records show Ivan Racadag reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ennoble Hc Dmv III LLC

23 mi

Geriatric Medicine

962 WAYNE AVE STE 250
Silver Spring, MD 20910

Reassigned Medicare billing, District of Columbia and Virginia enrollments
62 clinicians in this Medicare group

NPI 1922981695 (240) 744-0001

Ennoble Hc Dmv II LLC

23 mi

Geriatric Medicine

962 WAYNE AVE STE 250
Silver Spring, MD 20910

Reassigned Medicare billing, District of Columbia and Virginia enrollments
62 clinicians in this Medicare group

NPI 1134002900 (240) 744-0001

Ennoble Hc Dmv LLC

30 mi

Geriatric Medicine

8115 MAPLE LAWN BLVD STE 350
Fulton, MD 20759

Reassigned Medicare billing, District of Columbia and Virginia enrollments
82 clinicians in this Medicare group

NPI 1104492115 (862) 812-9010

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350

An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.

764 services142 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

127 services71 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

124 services124 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

104 services61 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

92 services46 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

90 services90 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

73 services33 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

38 services38 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

34 services27 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

34 services24 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

34 services24 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20147 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 20

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

LIAM MULLEN

Counselor (Mental Health)