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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DANIELLE KATHRYN IVANOVA D.O.
NPI 1124462387
Psychiatry & Neurology - Psychiatry in Bothell, WA

Active since April 18, 2013PECOS Enrolled
79.16/100
CMS Quality Rating
21540 30TH DR SE STE 400, BOTHELL, WA 98021(888) 562-5442 Get Directions Write a Review

NPPES record last updated: October 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 5, 2026, Apr 12, 2024, May 14, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Danielle Kathryn Ivanova D.o. NPPES

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

DR. DANIELLE KATHRYN IVANOVA D.O. (NPI 1124462387) is an individual psychiatry provider in Bothell, Washington, licensed in Washington (DO.OP.60943716) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124462387
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. DANIELLE KATHRYN IVANOVACredential: D.O.
Location Address21540 30TH DR SE STE 400Bothell, WA 98021-7015
Mailing Address1119a Yakima Ave SSeattle, WA 98144-3147
Phone(888) 562-5442
Sole ProprietorNo
Enumeration DateApril 18, 2013
Last NPPES UpdateOctober 5, 20264 updates tracked since enumeration
NPPES CertifiedOctober 5, 2026
✔ NPI 1124462387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in WA · DO.OP.60943716
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
21540 30TH DR SE STE 400, Bothell, WA 98021
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Danielle Kathryn Ivanova D.o. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Danielle Ivanova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

King County Public Hospital District No 2
0.5 mi
Family Medicine
1909 214TH ST SE, SUITE 110
Bothell, WA 98021
  • Reassigned Medicare billing, Washington enrollment
  • 1,074 clinicians in this Medicare group
NPI 1902907165 (425) 488-4988
Overlake Medical Clinics LLC
12 mi
Specialist
1750 112TH AVE NE, SUITE A101
Bellevue, WA 98004
  • Reassigned Medicare billing, Washington enrollment
  • 566 clinicians in this Medicare group
NPI 1871745703 (425) 688-5234

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 98021 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Other Providers at the Same Location NPPES 2

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

DAVID LYNN JOHNSON RPH
Pharmacist
21540 30TH DR SE STE 400
BOTHELL, WA 98021
Snohomish County (425) 424-7140
MOLINA HEALTHCARE OF WASHINGTON, INC
Family Medicine
21540 30TH DR SE STE 400
BOTHELL, WA 98021
Snohomish County (888) 562-5442

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 Danielle Ivanova's NPI number?

The NPI number for Danielle Ivanova is 1124462387. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Danielle Ivanova located?

Danielle Ivanova practices at 21540 30th Dr SE Ste 400, Bothell, WA 98021. The listed phone number is (888) 562-5442.

What is Danielle Ivanova's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Danielle Ivanova enrolled in Medicare?

Yes. Danielle Ivanova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Danielle Ivanova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Ivanova reassigns Medicare benefits to 2 organizations: King County Public Hospital District No 2 (Bothell, WA) and Overlake Medical Clinics LLC (Bellevue, WA). Each 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 Danielle Ivanova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Danielle Ivanova was last updated on October 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.