OLIVIA SUE GORNICHEC PA-C
NPI 1104793108
Physician Assistant in Rocky Mount, NC

Q: What is Olivia Gornichec's NPI number?

The NPI number for Olivia Gornichec is 1104793108. It was assigned to this individual provider in the NPPES registry on October 22, 2025.

Q: What is Olivia Gornichec's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Olivia Gornichec was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 22, 2025PECOS EnrolledAccepts Medicare Assignment

921 N WINSTEAD AVE, ROCKY MOUNT, NC 27804(252) 937-0300(252) 937-3108 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Olivia Sue Gornichec Pa-c NPPES

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

OLIVIA SUE GORNICHEC PA-C (NPI 1104793108) is an individual physician assistant in Rocky Mount, North Carolina, licensed in North Carolina (0010-16834) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1104793108

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameOLIVIA SUE GORNICHECCredential: PA-C

Location Address921 N WINSTEAD AVERocky Mount, NC 27804-8749

Mailing AddressPo Box 7200Rocky Mount, NC 27804-0200 · (252) 937-0200 · Fax (252) 451-0056

Phone(252) 937-0300

Fax(252) 937-3108

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateOctober 22, 2025

Last NPPES UpdateAugust 27, 2026

NPPES CertifiedAugust 27, 2026

✔ NPI 1104793108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-16834

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.

921 N WINSTEAD AVE, Rocky Mount, NC 27804

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olivia Sue Gornichec Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951862168

PECOS Enrollment IDI20260917000089

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 27804 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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. EDWARD A LANEAR PA-C

Physician Assistant (Medical)