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

Petia J Ivanoff, MSN, FPMHNP

Individual provider Registered Nurse · NPI 1942985411

Petia J Ivanoff, MSN, FPMHNP is a Nurse Practitioner in Columbia, Missouri. Qualified in 2023, 3 years ago. Practices with Burrell Inc, a 215-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

3401 Berrywood Dr
Columbia, MO 65201-8372
Phone: (573) 777-8330
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1300 E Bradford Pkwy, Springfield, MO 65804-4264 — (417) 761-5000
  • 323 E Grand St, Springfield, MO 65807-1447 — (417) 761-5600

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023023158 (MO)
Registered Nurse Taxonomy 163W00000X · Licence 2007031329 (MO)

Record details

NPI number1942985411
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FPMHNP
Sole proprietorNo
NPI enumeratedJune 21, 2023
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Burrell Inc — 215 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Columbia