Rachel Spencer Ivanov, MSN, APRN, PMHNP
NPI 1053916379ActiveIndividual· Nurse Practitioner, Psych/Mental Health· New Braunfels, TX
Nurse Practitioner, Psych/Mental Health (MSN, APRN, PMHNP) with St Marys Regional Medical Center, practicing in New Braunfels, Texas. Their prescriptions cost Medicare Part D more than their services did: $400,504 for 2,542 claims, against $8,088 paid for services in 2024. Lists St Mary's Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1053916379 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, APRN, PMHNP |
| Sole proprietor | No |
| NPI issued | Dec 3, 2020 |
| Last updated in NPPES | Oct 3, 2022 |
| Certified by provider | Oct 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 1030787 | TX |
| Registered Nurse, Psych/Mental Health | 163WP0808X | 902941 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (ME); Practitioner - Nurse Practitioner (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 49 |
|---|---|
| Services billed | 109 across 8 procedure codes |
| Paid by Medicare | $8,088 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,542 · 4,715 30-day fills |
|---|---|
| Patients | 257 |
| Total drug cost | $400,504 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- St Marys Regional Medical CenterLewiston, ME · 198 clinicians
Hospital affiliation
- St Mary's Regional Medical CenterLewiston, ME
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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