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MS. TIA ROCHE IVORY FNP-C
NPI 1689176885
Nurse Practitioner - Family in Kilgore, TX

Active since March 03, 2018PECOS EnrolledAccepts Medicare Assignment
2019A S HENDERSON BLVD STE 2, KILGORE, TX 75662(903) 483-7707(903) 483-7708 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Sep 23, 2022, Jun 15, 2021 and 1 more (4 updates tracked since 2018).

About Ms. Tia Roche Ivory Fnp-c NPPES

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

MS. TIA ROCHE IVORY FNP-C (NPI 1689176885) is an individual family provider in Kilgore, Texas, licensed in Texas (AP136828) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689176885
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TIA ROCHE IVORYCredential: FNP-C
Location Address2019A S HENDERSON BLVD STE 2Kilgore, TX 75662-3567
Mailing Address2019a South Henderson Blvd, Suite 2Kilgore, TX 75662-3915 · (903) 483-7707 · Fax (903) 483-7708
Phone(903) 483-7707
Fax(903) 483-7708
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 3, 2018
Last NPPES UpdateMay 8, 20234 updates tracked since enumeration
NPPES CertifiedApril 18, 2023
✔ NPI 1689176885 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 TX · AP136828
2019A S HENDERSON BLVD STE 2, Kilgore, TX 75662
Open in Google Maps ↗

Other Identifiers 1

Other8025511TX · Aetna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Ms. Tia Roche Ivory Fnp-c 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 ID2466701024
PECOS Enrollment IDI20180816000606
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 75662 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
2 suppliers15 claims15 services$176.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Tia Ivory's NPI number?

The NPI number for Tia Ivory is 1689176885. It was assigned to this individual provider in the NPPES registry on March 3, 2018.

Where is Tia Ivory located?

Tia Ivory practices at 2019A S Henderson Blvd Ste 2, Kilgore, TX 75662. The listed phone number is (903) 483-7707.

What is Tia Ivory's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tia Ivory enrolled in Medicare?

Yes. Tia Ivory is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tia Ivory accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Tia Ivory 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 Tia Ivory was last updated on May 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.