MR. IVAN A MUSTAFA ARNP
NPI 1497727804
Nurse Practitioner in Leesburg, FL

Q: What is Ivan Mustafa's NPI number?

The NPI number for Ivan Mustafa is 1497727804. It was assigned to this individual provider in the NPPES registry on February 2, 2006.

Q: What is Ivan Mustafa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Ivan Mustafa was last updated on January 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 February 02, 2006PECOS EnrolledAccepts Medicare Assignment

600 E DIXIE AVE, LEESBURG, FL 34748(352) 323-5762 Get Directions Write a Review

NPPES record last updated: January 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Ivan A Mustafa Arnp NPPES

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

MR. IVAN A MUSTAFA ARNP (NPI 1497727804) is an individual nurse practitioner in Leesburg, Florida, licensed in Florida (ARNP3098742) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1497727804

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. IVAN A MUSTAFACredential: ARNP

Location Address600 E DIXIE AVELeesburg, FL 34748-5925

Mailing Address8490 Ne 150th AveWilliston, FL 32696-3842 · (407) 758-4104

Phone(352) 323-5762

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateFebruary 2, 2006

Last NPPES UpdateJanuary 28, 2008

✔ NPI 1497727804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · ARNP3098742

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

600 E DIXIE AVE, Leesburg, FL 34748

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Other Identifiers 2

Medicare ID-Type UnspecifiedU1497VFL

Medicare UPINQ00319FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Wyoming, Mountain Health CO-OP and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ivan A Mustafa Arnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42123275

PECOS Enrollment IDI20031112000474, I20240911002316

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Wheatland Memorial Hospital

Critical Access Hospitals · Harlowton, MT

OwnershipVoluntary non-profit - Private

CMS Certification Number271321

Location530 3rd St NWHarlowton, MT 59036 · Wheatland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34748 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

Other Providers at the Same Location NPPES 20

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

MR. JARED SAINT JOHN APRN

Nurse Practitioner (Family)