Ivelisse Olivencia-simmons, NP in Gastonia, NC

Ivelisse Olivencia-simmons, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Gastonia, North Carolina. Her current practice location is 2555 Court Dr Ste 200, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 867-2141.

Ivelisse Olivencia-simmons is licensed to practice in North Carolina (license number 5003363) 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 1295931251.

Contact Information

	Ivelisse Olivencia-simmons, NP
	2555 Court Dr Ste 200, Gastonia, NC 28054-2178
	(704) 867-2141
	(704) 867-2308

Map and Direction

Provider's Profile

Full Name	Ivelisse Olivencia-simmons
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	2555 Court Dr Ste 200, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295931251
Provider Enumeration Date: 06/26/2007
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 8628142643
Enrollment ID: I20080808000158

Medical Identifiers

Medical identifiers for Ivelisse Olivencia-simmons such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295931251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	79066 (Idaho)	Secondary
363L00000X	Nurse Practitioner	5003363 (North Carolina)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	5003363 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ivelisse Olivencia-simmons allows following entities to bill medicare on her behalf.

Entity Name	University Of North Carolina At Chapel Hill
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780669200 PECOS PAC ID: 0648181156 Enrollment ID: O20031105000359

Entity Name	Moses Cone Physician Services, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202

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. Ivelisse Olivencia-simmons 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 Address	Practice Location Address
Ivelisse Olivencia-simmons, NP Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450	Ivelisse Olivencia-simmons, NP 2555 Court Dr Ste 200, Gastonia, NC 28054-2178 Ph: (704) 867-2141

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150

Ivelisse Olivencia-simmons, NP - Medicare Nurse Practitioner in Gastonia, NC