MRS. CHRISTINA MARIE IVY FNP-C
NPI 1104394899
Nurse Practitioner - Family in O Fallon, MO

Q: What is Christina Ivy's NPI number?

The NPI number for Christina Ivy is 1104394899. It was assigned to this individual provider in the NPPES registry on November 12, 2018.

Q: What is Christina Ivy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Christina Ivy was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 12, 2018PECOS Enrolled

2765 RED CEDAR PARC DR S, O FALLON, MO 63368(636) 248-8072 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Christina Marie Ivy Fnp-c NPPES

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

MRS. CHRISTINA MARIE IVY FNP-C (NPI 1104394899) is an individual family provider in O Fallon, Missouri, licensed in Missouri (2018040232) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104394899

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CHRISTINA MARIE IVYCredential: FNP-C

Location Address2765 RED CEDAR PARC DR SO Fallon, MO 63368-6609

Mailing Address2765 Red Cedar Parc Dr SO Fallon, MO 63368-6609 · (636) 248-8072

Phone(636) 248-8072

Sole ProprietorNo

Enumeration DateNovember 12, 2018

✔ NPI 1104394899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2018040232

2765 RED CEDAR PARC DR S, O Fallon, MO 63368

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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)

Mrs. Christina Marie Ivy Fnp-c 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 63368 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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 Christina Ivy's NPI number?

The NPI number for Christina Ivy is 1104394899. It was assigned to this individual provider in the NPPES registry on November 12, 2018.

Where is Christina Ivy located?

Christina Ivy practices at 2765 Red Cedar Parc Dr S, O Fallon, MO 63368. The listed phone number is (636) 248-8072.

What is Christina Ivy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Christina Ivy enrolled in Medicare?

Yes. Christina Ivy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Christina Ivy was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.