DR. IVETTE MEDRANO APRN, PMHNP-BC, DNP
NPI 1639678899
Nurse Practitioner - Psychiatric/Mental Health in St Petersburg, FL

Q: What is Ivette Medrano's NPI number?

The NPI number for Ivette Medrano is 1639678899. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Q: What is Ivette Medrano's specialty?

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

Q: Is Ivette Medrano enrolled in Medicare?

No. Ivette Medrano has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Ivette Medrano was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since February 02, 2018Opted out of Medicare · through Oct 1, 2027

7901 4TH ST N # 23125, ST PETERSBURG, FL 33702(786) 592-0331 Get Directions Write a Review

NPPES record last updated: September 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 6, 2025, May 18, 2025, Jan 11, 2021 and 2 more (5 updates tracked since 2019).

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About Dr. Ivette Medrano Aprn, Pmhnp-bc, Dnp NPPES

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

DR. IVETTE MEDRANO APRN, PMHNP-BC, DNP (NPI 1639678899) is an individual psychiatric/mental health provider in St Petersburg, Florida, licensed in Florida (11004085) and active in the NPI registry since February 2018. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1639678899

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. IVETTE MEDRANOCredential: APRN, PMHNP-BC, DNP

Location Address7901 4TH ST N # 23125St Petersburg, FL 33702-4305

Mailing Address7901 4th St N Ste 23125St Petersburg, FL 33702-4305 · (727) 210-5589 · Fax (833) 605-4098

Phone(786) 592-0331

Sole ProprietorNo

Enumeration DateFebruary 2, 2018

Last NPPES UpdateSeptember 6, 20255 updates tracked since enumeration

NPPES CertifiedSeptember 6, 2025

✔ NPI 1639678899 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

License✔ Licensed in FL · 11004085

7901 4TH ST N # 23125, St Petersburg, FL 33702

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Ivette Medrano Aprn, Pmhnp-bc, Dnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33702 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

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

TRUE NORTH INTEGRATIVE PSYCHIATRY PLLC

Psychiatry & Neurology (Psychiatry)

7901 4TH ST N # 23125
ST PETERSBURG, FL 33702

Pinellas County (386) 232-8332

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 Ivette Medrano's NPI number?

The NPI number for Ivette Medrano is 1639678899. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Where is Ivette Medrano located?

Ivette Medrano practices at 7901 4th St N # 23125, St Petersburg, FL 33702. The listed phone number is (786) 592-0331.

What is Ivette Medrano's specialty?

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

Is Ivette Medrano enrolled in Medicare?

No. Ivette Medrano has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Ivette Medrano accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Ivette Medrano 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 Ivette Medrano was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.