ANYA MARISA IBERN
NPI 1689540304
Nurse Practitioner in Tampa, FL
About Anya Marisa Ibern NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANYA MARISA IBERN (NPI 1689540304) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11042889) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Anya Marisa Ibern 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.
Medicare Billing Reassignment
Medicare enrollment records show Anya Ibern reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
- 992 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Anya Ibern's NPI number?
The NPI number for Anya Ibern is 1689540304. It was assigned to this individual provider in the NPPES registry on October 13, 2025. The provider is also known as Anya Marisa Moguel.
Where is Anya Ibern located?
Anya Ibern practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (813) 745-4673.
What is Anya Ibern's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Anya Ibern enrolled in Medicare?
Yes. Anya Ibern 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.
Which organization bills Medicare for Anya Ibern's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anya Ibern reassigns Medicare benefits to H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anya Ibern's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Anya Ibern was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Anya Marisa Ibern · NPI 1689540304
Nurse Practitioner physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since October 13, 2025.
## Identity
- **NPI:** 1689540304 (Entity type: Individual)
- **Enumerated:** October 13, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN11042889 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12902 USF MAGNOLIA DR, Tampa, FL 33612-9416
- **Phone:** (813) 745-4673
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (NPI 1306833595, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** October 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689540304) · Data from the CMS NPPES public registry.