MISS IVANNA PLYMOUTH NP
NPI 1083126379
Nurse Practitioner - Critical Care Medicine in Clinton, MD

Active since October 26, 2017PECOS EnrolledAccepts Medicare Assignment
7503 SURRATTS RD, CLINTON, MD 20735(301) 877-4656 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Nov 17, 2017, Oct 26, 2017 (3 updates tracked since 2017).

About Miss Ivanna Plymouth Np NPPES

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

MISS IVANNA PLYMOUTH NP (NPI 1083126379) is an individual critical care medicine provider in Clinton, Maryland, licensed in North Carolina (5010033) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1083126379
Entity TypeIndividualFemale
Primary Taxonomy363LC0200X
Provider Legal NameMISS IVANNA PLYMOUTHCredential: NP
Location Address7503 SURRATTS RDClinton, MD 20735-3358
Mailing Address2090 Arbroth CtWaldorf, MD 20601-3787 · (252) 268-2608
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 26, 2017
Last NPPES UpdateAugust 23, 20233 updates tracked since enumeration
NPPES CertifiedAugust 23, 2023
NPI 1083126379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Critical Care MedicinePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LC0200X
License Licensed in NC · 5010033
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5010033 (NC)
7503 SURRATTS RD, Clinton, MD 20735

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

Miss Ivanna Plymouth Np 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 ID1254692866
PECOS Enrollment IDI20231218002278
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.

Areas of Expertise CMS Part B claims 2

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
106 services80 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
65 services46 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20735 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Pediatrics (Neonatal-Perinatal Medicine)
7503 SURRATTS RD
CLINTON, MD 20735
Speech-Language Pathologist
7503 SURRATTS RD
CLINTON, MD 20735
Pediatrics
7503 SURRATTS RD
CLINTON, MD 20735
Obstetrics & Gynecology
7503 SURRATTS RD
CLINTON, MD 20735
Physician Assistant
7503 SURRATTS RD, EMERGENCY DEPT, MEDSTAR SOUTHERN MARYLAND HOSPITAL
CLINTON, MD 20735
Nurse Anesthetist, Certified Registered
7503 SURRATTS RD
CLINTON, MD 20735
Hospitalist
7503 SURRATTS RD
CLINTON, MD 20735
Anesthesiology
7503 SURRATTS RD
CLINTON, MD 20735

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 Ivanna Plymouth's NPI number?

The NPI number for Ivanna Plymouth is 1083126379. It was assigned to this individual provider in the NPPES registry on October 26, 2017.

Where is Ivanna Plymouth located?

Ivanna Plymouth practices at 7503 Surratts Rd, Clinton, MD 20735. The listed phone number is (301) 877-4656.

What is Ivanna Plymouth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Critical Care Medicine, with taxonomy code 363LC0200X.

Is Ivanna Plymouth enrolled in Medicare?

Yes. Ivanna Plymouth 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.

Is Ivanna Plymouth affiliated with any hospitals?

According to CMS data, Ivanna Plymouth is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Ivanna Plymouth was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.