PETIA J IVANOFF MSN, FPMHNP
NPI 1942985411
Nurse Practitioner - Psychiatric/Mental Health in Columbia, MO

Q: What is Petia Ivanoff's NPI number?

The NPI number for Petia Ivanoff is 1942985411. It was assigned to this individual provider in the NPPES registry on June 21, 2023. The provider is also known as Petia J Gervazova.

Q: What is Petia Ivanoff's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Petia Ivanoff was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 June 21, 2023PECOS EnrolledAccepts Medicare Assignment

3401 BERRYWOOD DR, COLUMBIA, MO 65201(573) 777-8330 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 9, 2025, Jul 13, 2023, Jun 21, 2023 (3 updates tracked since 2023).

On this page

About Petia J Ivanoff Msn, Fpmhnp NPPES

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

PETIA J IVANOFF MSN, FPMHNP (NPI 1942985411) is an individual psychiatric/mental health provider in Columbia, Missouri, licensed in Missouri (2023023158) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942985411

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NamePETIA J IVANOFFCredential: MSN, FPMHNP

Location Address3401 BERRYWOOD DRColumbia, MO 65201-8372

Mailing Address2885 W Battlefield StSpringfield, MO 65807-3952 · (417) 761-5214 · Fax (417) 761-5065

Phone(573) 777-8330

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 21, 2023

Last NPPES UpdateJuly 9, 20253 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1942985411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MO · 2023023158

Also ListedRegistered NurseTaxonomy 163W00000X · License 2007031329 (MO)

3401 BERRYWOOD DR, Columbia, MO 65201

Open in Google Maps ↗

Other Names 1

Former Name (1)Petia J Gervazova

Secondary Practice Locations 2

Location 11300 E Bradford PkwySpringfield, MO 65804-4264 · Phone (417) 761-5000 · Fax (417) 761-5011

Location 2323 E Grand StSpringfield, MO 65807-1447 · Phone (417) 761-5600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan 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

Petia J Ivanoff Msn, Fpmhnp 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 ID2163884388

PECOS Enrollment IDI20230818002050

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

54 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

DR. KATHERINE ELLIS LIGHT PHD, PLP

Psychologist (Clinical)

3401 BERRYWOOD DR
COLUMBIA, MO 65201

Boone County (573) 777-8330

STEPHEN E DITTMER LPC

Counselor (Professional)

3401 BERRYWOOD DR
COLUMBIA, MO 65201

Boone County (573) 777-8330

HOLLY J CAMERON MA, LPC

Counselor (Professional)

3401 BERRYWOOD DR
COLUMBIA, MO 65201

Boone County (573) 777-8330

HAILEY WALSH MS, LPC

Counselor (Professional)

3401 BERRYWOOD DR
COLUMBIA, MO 65201

Boone County (573) 777-8300

MISSOURI EAR NOSE AND THROAT CENTER

Clinic/Center (Medical Specialty)

3401 BERRYWOOD DR, SUITE 201
COLUMBIA, MO 65201

Boone County (573) 815-0662

ALICIA K LOVINGIER MA, PLPC

Counselor (Professional)

3401 BERRYWOOD DR
COLUMBIA, MO 65201

Boone County (573) 777-7530

JORDAN L CRAFT PLPC

Counselor (Professional)

3401 BERRYWOOD DR
COLUMBIA, MO 65201

Boone County (573) 777-8330

ANGELA GRACE ALLPHIN MS, LPC

Counselor (Professional)

3401 BERRYWOOD DR
COLUMBIA, MO 65201

Boone County (573) 777-8330

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 Petia Ivanoff's NPI number?

The NPI number for Petia Ivanoff is 1942985411. It was assigned to this individual provider in the NPPES registry on June 21, 2023. The provider is also known as Petia J Gervazova.

Where is Petia Ivanoff located?

Petia Ivanoff practices at 3401 Berrywood Dr, Columbia, MO 65201. The listed phone number is (573) 777-8330.

What is Petia Ivanoff's specialty?

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

Is Petia Ivanoff enrolled in Medicare?

Yes. Petia Ivanoff 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 Petia Ivanoff accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 7 other insurers list Petia Ivanoff 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 Petia Ivanoff was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.