Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Racadag, AGPCNP-BC

Individual provider Registered Nurse · NPI 1083062392

Ivan Racadag, AGPCNP-BC is a Nurse Practitioner in Ashburn, Virginia. Qualified in 2016, 10 years ago. Practices with Ennoble Hc Dmv LLC, a 111-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905
Phone: (551) 295-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 39 V St Ne, Washington, DC 20002-1329 — (551) 295-8223
  • 1604 Spring Hill Rd, Vienna, VA 22182-7510 — (571) 599-5643

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 0024173957 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001230039 (VA)

Record details

NPI number1083062392
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedMay 26, 2016
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Ennoble Hc Dmv Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Ashburn