Mrs Celena Nicole Shivers, PMHNP - Medicare Nurse Practitioner in Charlotte, NC

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Mrs Celena Nicole Shivers, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Charlotte, North Carolina. Her current practice location is 10430 Harris Oak Blvd Ste L, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 317-2930.

Mrs Celena Nicole Shivers is licensed to practice in North Carolina (license number 5017424) 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 1033828207.

Contact Information

Mrs Celena Nicole Shivers, PMHNP
10430 Harris Oak Blvd Ste L,
Charlotte, NC 28269-7513
(704) 317-2930
(704) 644-2513

Map and Direction




Provider's Profile

Full NameMrs Celena Nicole Shivers
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location10430 Harris Oak Blvd Ste L, Charlotte, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033828207
  • Provider Enumeration Date: 11/16/2022
  • Last Update Date: 12/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1951551514
  • Enrollment ID: I20230329003271

Medical Identifiers

Medical identifiers for Mrs Celena Nicole Shivers such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033828207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 10011737 (Oregon)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health 294831 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5017424 (North Carolina)Primary
163WP0808XRegistered Nurse - Psychiatric/mental Health 205549 (South Carolina)Secondary

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. Mrs Celena Nicole Shivers allows following entities to bill medicare on her behalf.
Entity NameIntegrative Wellness Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447760871
PECOS PAC ID: 8022341494
Enrollment ID: O20190618000993
Entity NameGreater Alliance Behavioral Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639851132
PECOS PAC ID: 5698123016
Enrollment ID: O20240506000631

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. Mrs Celena Nicole Shivers 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 AddressPractice Location Address
Mrs Celena Nicole Shivers, PMHNP
6037 Landry Ln,
Indian Land, SC 29707-6060

Ph: (803) 979-6171		Mrs Celena Nicole Shivers, PMHNP
10430 Harris Oak Blvd Ste L,
Charlotte, NC 28269-7513

Ph: (704) 317-2930

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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