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IVANA MITIC CRNA
NPI 1962743815
Nurse Practitioner - Psychiatric/Mental Health in Sparks, MD

Active since March 01, 2013PECOS EnrolledAccepts Medicare Assignment
909 RIDGEBROOK RD STE 202, SPARKS, MD 21152(410) 870-5482 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ivana Mitic Crna NPPES

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

IVANA MITIC CRNA (NPI 1962743815) is an individual psychiatric/mental health provider in Sparks, Maryland, licensed in Maryland (R212937) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Northwest Hospital Center, and maintains a secondary practice location in Salisbury.

NPPES Registry Identity

NPI1962743815
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameIVANA MITICCredential: CRNA
Location Address909 RIDGEBROOK RD STE 202Sparks, MD 21152-9476
Mailing Address909 Ridgebrook Rd Ste 202Sparks, MD 21152-9476
Phone(410) 870-5482
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 1, 2013
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1962743815 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 MD · R212937
Also ListedRegistered NurseTaxonomy 163W00000X · License 784417 (TX)
909 RIDGEBROOK RD STE 202, Sparks, MD 21152
Open in Google Maps ↗

Secondary Practice Location 1

Location 12324 N Zion Rd Ste 113Salisbury, MD 21801-2576 · Phone (410) 870-5482

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

Ivana Mitic Crna 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 ID1355580317
PECOS Enrollment IDI20141216001308, I20230515002400
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 2

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
436 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
112 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwest Hospital Center

Acute Care Hospitals · Randallstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210040
Location5401 Old Court RoadRandallstown, MD 21133 · Baltimore County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21152 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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 2

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

BALTIMORE KETAMINE CLINIC
Clinic/Center (Infusion Therapy)
909 RIDGEBROOK RD STE 202
SPARKS, MD 21152
Baltimore County (410) 870-5482
BALTIMORE KETAMINE CLINIC
Nurse Practitioner (Psychiatric/Mental Health)
909 RIDGEBROOK RD STE 202
SPARKS GLENCOE, MD 21152
Baltimore County (410) 870-5482

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 Ivana Mitic's NPI number?

The NPI number for Ivana Mitic is 1962743815. It was assigned to this individual provider in the NPPES registry on March 1, 2013.

Where is Ivana Mitic located?

Ivana Mitic practices at 909 Ridgebrook Rd Ste 202, Sparks, MD 21152. The listed phone number is (410) 870-5482.

What is Ivana Mitic's specialty?

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

Is Ivana Mitic enrolled in Medicare?

Yes. Ivana Mitic 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.

Is Ivana Mitic affiliated with any hospitals?

According to CMS data, Ivana Mitic is affiliated with Northwest Hospital Center.

When was this NPI record last updated?

The NPPES record for Ivana Mitic was last updated on April 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.