MR. DUSTIN BRANT IVANIC FNP-C
NPI 1497294748
Nurse Practitioner - Family in Tempe, AZ

Q: What is Dustin Ivanic's NPI number?

The NPI number for Dustin Ivanic is 1497294748. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Q: What is Dustin Ivanic'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 Dustin Ivanic was last updated on February 20, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 20, 2017PECOS Enrolled

3255 S RURAL RD, TEMPE, AZ 85282(480) 304-5467 Get Directions Write a Review

NPPES record last updated: February 20, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Dustin Brant Ivanic Fnp-c NPPES

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

MR. DUSTIN BRANT IVANIC FNP-C (NPI 1497294748) is an individual family provider in Tempe, Arizona, licensed in Arizona (AP9722) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497294748

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. DUSTIN BRANT IVANICCredential: FNP-C

Location Address3255 S RURAL RDTempe, AZ 85282-3853

Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200

Phone(480) 304-5467

Sole ProprietorNo

Enumeration DateFebruary 20, 2017

✔ NPI 1497294748 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 AZ · AP9722

3255 S RURAL RD, Tempe, AZ 85282

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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)

Mr. Dustin Brant Ivanic 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 85282 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

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