KRYSTLE IVANOV APRN-PMHNP- BC
NPI 1760296362
Nurse Practitioner - Psychiatric/Mental Health in Lakeland, FL

Active since February 04, 2025PECOS EnrolledAccepts Medicare Assignment
225 E LEMON ST STE 105, LAKELAND, FL 33801(863) 732-7200 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 13, 2025, Feb 7, 2025 (2 updates tracked since 2025).

About Krystle Ivanov Aprn-pmhnp- Bc NPPES

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

KRYSTLE IVANOV APRN-PMHNP- BC (NPI 1760296362) is an individual psychiatric/mental health provider in Lakeland, Florida, licensed in Florida (APRN11037342) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1760296362
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRYSTLE IVANOVCredential: APRN-PMHNP- BC
Location Address225 E LEMON ST STE 105Lakeland, FL 33801-4632
Mailing Address225 E Lemon St Ste 105Lakeland, FL 33801-4632 · (863) 732-7200
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 4, 2025
Last NPPES UpdateFebruary 13, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
NPI 1760296362 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 · APRN11037342
225 E LEMON ST STE 105, Lakeland, FL 33801

Other Names 1

Other Name (5)Krystle Talag Ivanov

Accepted 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

Krystle Ivanov Aprn-pmhnp- Bc 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 ID8123540747
PECOS Enrollment IDI20250324001260
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 33801 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 7

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

Counselor (Mental Health)
225 E LEMON ST STE 105
LAKELAND, FL 33801
Clinic/Center (Mental Health (Including Community Mental Health Center))
225 E LEMON ST STE 105
LAKELAND, FL 33801
Social Worker (Clinical)
225 E LEMON ST STE 105
LAKELAND, FL 33801
Counselor (Mental Health)
225 E LEMON ST STE 105
LAKELAND, FL 33801
Nurse Practitioner (Psychiatric/Mental Health)
225 E LEMON ST STE 105
LAKELAND, FL 33801
Counselor (Mental Health)
225 E LEMON ST STE 105
LAKELAND, FL 33801
Nurse Practitioner (Psychiatric/Mental Health)
225 E LEMON ST STE 105
LAKELAND, FL 33801

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 Krystle Ivanov's NPI number?

The NPI number for Krystle Ivanov is 1760296362. It was assigned to this individual provider in the NPPES registry on February 4, 2025. The provider is also known as Krystle Talag Ivanov.

Where is Krystle Ivanov located?

Krystle Ivanov practices at 225 E Lemon St Ste 105, Lakeland, FL 33801. The listed phone number is (863) 732-7200.

What is Krystle Ivanov's specialty?

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

Is Krystle Ivanov enrolled in Medicare?

Yes. Krystle Ivanov 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 Krystle Ivanov accept?

Health plans from Oscar Health Maintenance Organization of Florida list Krystle Ivanov 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 Krystle Ivanov was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.