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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: September 06, 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, maintains a secondary practice location in Washington, and is a graduate of Other (2024).

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
Medical School CMSOtherGraduated 2024
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Dzifa Dzivenu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193242725
PECOS Enrollment IDI20250820002082
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 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.

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 6 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.