1. Home
  2. Directory
  3. North Carolina
  4. Chapel Hill
  5. Physician Assistant
  6. NPI Profile

IVY PALAS GWYNN P.A.
NPI 1053869636
Physician Assistant in Chapel Hill, NC

Active since September 13, 2016PECOS Enrolled
300 MARKET ST STE A, CHAPEL HILL, NC 27516(919) 228-2432(919) 228-2433 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, Jan 30, 2023, Jan 26, 2023 and 4 more (7 updates tracked since 2016).

About Ivy Palas Gwynn P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY PALAS GWYNN P.A. (NPI 1053869636) is an individual physician assistant in Chapel Hill, North Carolina, licensed in North Carolina (0010-12279) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053869636
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameIVY PALAS GWYNNCredential: P.A.
Location Address300 MARKET ST STE AChapel Hill, NC 27516-4493
Mailing Address1417 Morris RdPittsboro, NC 27312-7718
Phone(919) 228-2432
Fax(919) 228-2433
Sole ProprietorNo
Enumeration DateSeptember 13, 2016
Last NPPES UpdateJanuary 7, 20267 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1053869636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NC · 0010-12279✔ Licensed in WA · PA60702355
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
300 MARKET ST STE A, Chapel Hill, NC 27516
Open in Google Maps ↗

Other Identifiers 1

Medicaid1053869636WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Palas Gwynn P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27516 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivy Gwynn's NPI number?

The NPI number for Ivy Gwynn is 1053869636. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Where is Ivy Gwynn located?

Ivy Gwynn practices at 300 Market St Ste A, Chapel Hill, NC 27516. The listed phone number is (919) 228-2432.

What is Ivy Gwynn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ivy Gwynn enrolled in Medicare?

Yes. Ivy Gwynn is registered in the Medicare PECOS enrollment system.

What insurance does Ivy Gwynn accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Ivy Gwynn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivy Gwynn was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.