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IVY DZIFA DZIVENU
NPI 1215741301
Nurse Practitioner - Psychiatric/Mental Health in Alexandria, VA

Active since February 06, 2025PECOS Enrolled
3301 RICHMOND HWY # 1360, ALEXANDRIA, VA 22305(571) 275-5935 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2025, Feb 6, 2025 (2 updates tracked since 2025).

About Ivy Dzifa Dzivenu NPPES

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

IVY DZIFA DZIVENU (NPI 1215741301) is an individual psychiatric/mental health provider in Alexandria, Virginia, licensed in Virginia (0024192399) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1215741301
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIVY DZIFA DZIVENU
Location Address3301 RICHMOND HWY # 1360Alexandria, VA 22305-3044
Mailing Address3301 Richmond Hwy # 1360Alexandria, VA 22305-3044 · (571) 275-5935
Phone(571) 275-5935
Sole ProprietorYes
Enumeration DateFebruary 6, 2025
Last NPPES UpdateFebruary 17, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2026
✔ NPI 1215741301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in VA · 0024192399✔ Licensed in DC · NP500125648
3301 RICHMOND HWY # 1360, Alexandria, VA 22305
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Secondary Practice Location 1

Location 1712 H St NE Ste 1379Washington, DC 20002-3627 · Phone (571) 275-5935

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Dzifa Dzivenu 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 Ivy Dzivenu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Just Mind Psychiatry LLC
5.1 mi
Psychiatric/Mental Health
712 H ST NE STE 1379
Washington, DC 20002
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
NPI 1659254621 (571) 275-5935
Grow Healthcare Group PA
918 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 22305 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.

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 Ivy Dzivenu's NPI number?

The NPI number for Ivy Dzivenu is 1215741301. It was assigned to this individual provider in the NPPES registry on February 6, 2025.

Where is Ivy Dzivenu located?

Ivy Dzivenu practices at 3301 Richmond Hwy # 1360, Alexandria, VA 22305. The listed phone number is (571) 275-5935.

What is Ivy Dzivenu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ivy Dzivenu enrolled in Medicare?

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

Which organizations bill Medicare for Ivy Dzivenu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Dzivenu reassigns Medicare benefits to 2 organizations: Just Mind Psychiatry LLC (Washington, DC) and Grow Healthcare Group PA (Miami, FL). 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 Ivy Dzivenu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivy Dzivenu accept?

Health plans from Oscar Health and UnitedHealthcare list Ivy Dzivenu 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 Ivy Dzivenu was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.