Mrs Christina Marie Ivy, FNP-C - Medicare Nurse Practitioner in O Fallon, MO

Mrs Christina Marie Ivy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in O Fallon, Missouri. Her current practice location is 2765 Red Cedar Parc Dr S, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 248-8072.

Mrs Christina Marie Ivy is licensed to practice in Missouri (license number 2018040232) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1104394899.

Contact Information

Mrs Christina Marie Ivy, FNP-C
2765 Red Cedar Parc Dr S,
O Fallon, MO 63368-6609
(636) 248-8072
Not Available

Map and Direction




Provider's Profile

Full NameMrs Christina Marie Ivy
GenderFemale
SpecialityNurse Practitioner - Family
Location2765 Red Cedar Parc Dr S, O Fallon, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104394899
  • Provider Enumeration Date: 11/12/2018
  • Last Update Date: 11/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4183055981
  • Enrollment ID: I20200512000315

Medical Identifiers

Medical identifiers for Mrs Christina Marie Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104394899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2018040232 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Christina Marie Ivy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Christina Marie Ivy, FNP-C
2765 Red Cedar Parc Dr S,
O Fallon, MO 63368-6609

Ph: (636) 248-8072
Mrs Christina Marie Ivy, FNP-C
2765 Red Cedar Parc Dr S,
O Fallon, MO 63368-6609

Ph: (636) 248-8072

Reviews and Comments


Nurse Practitioner Nurses in O Fallon, MO

Mrs. Shannon M Wood, FNP-BC
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Elizabeth Vollmar, FNP-C
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Phone: 636-379-6363    
Gloria Michelle Paul Edacheril, NP
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Practice Location: 20 Progress Point Pkwy Ste 108, O Fallon, MO 63368
Phone: 636-344-2400    Fax: 636-344-2401

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.