JANICE IVIE (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1184058737

JANICE IVIE (NP) is a healthcare provider. based in Fairfield, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 493762 (CA). The NPI Number for JANICE IVIE (NP) is 1184058737

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
JANICE IVIE (NP)
NPI
1184058737
Phone
(707) 784-8400
Address
275 Beck Ave
Enumeration Date
29 August 2013
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7072496898
Graduation Year
2014 (12 years ago)
PAC ID
8628398088
Professional Enrollment ID
I20150526002385
Address ID
CA956885315VA941XXSTXX301
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness85
Years active:12State licenses:3Other namesUpdated within 12 months

16,360 NURSE PRACTITIONER in CA

Provider Addresses for JANICE IVIE (NP)

  • 275 Beck Ave

    Fairfield, CA 945336804

    Phone: (707) 784-8400

    Type: Location

  • 102 FAIRVIEW DR

    VACAVILLE, CA 956875679

    Phone: (707) 628-4140

    Type: Mailing

  • PO BOX 6601

    VACAVILLE, CA 956966601

    Phone: (707) 249-6898

    Type: Mailing

  • 941 MERCHANT ST STE A

    VACAVILLE, CA 956885315

    Phone: (707) 628-4140

    Type: Location

  • 1 QUALITY DRIVE

    VACAVILLE, CA 95688

    Phone: (707) 628-4140

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($62).

Total Amount

$62

General + Research + Ownership

Payments

2

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$62
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150526002385INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94533)

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Reviews

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Frequently asked questions

What number should I use to identify JANICE IVIE (NP) for billing?
Administrative and clinical systems typically use NPI 1184058737 for JANICE IVIE (NP).
Should I treat JANICE IVIE (NP) as an active provider?
Patients and plans typically see JANICE IVIE (NP) as active in the national extract.
How should patients interpret JANICE IVIE (NP)'s specialty?
The extract shows Psychiatric/Mental Health Nurse Practitioner for JANICE IVIE (NP). Clinical services aligned with this taxonomy classification.
Is JANICE IVIE (NP) tied to Fairfield, California?
If you are local to Fairfield, California, JANICE IVIE (NP) may be relevant to your search.
Who maintains JANICE IVIE (NP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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