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

INNERGLOW HEALTH PLLC
NPI 1114817822
Physician Assistant in Hickory, NC

Active since July 04, 2025
1410 4TH STREET DR NW STE 102, HICKORY, NC 28601(828) 782-0195(828) 372-4528 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2026, Jul 4, 2025 (2 updates tracked since 2025).

About Innerglow Health Pllc NPPES

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

INNERGLOW HEALTH PLLC (NPI 1114817822) is a healthcare organization registered as a physician assistant in Hickory, North Carolina and active in the NPI registry since July 2025. The organization lists Emily Rivera, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1114817822
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameINNERGLOW HEALTH PLLC
Location Address1410 4TH STREET DR NW STE 102Hickory, NC 28601-2573
Mailing Address1410 4th Street Dr Nw Ste 102Hickory, NC 28601-2573 · (828) 784-0195 · Fax (828) 372-4528
Phone(828) 782-0195
Fax(828) 372-4528
Organization SubpartNo
Authorized OfficialEmily RiveraOffice Manager · (828) 784-0195
Enumeration DateJuly 4, 2025
Last NPPES UpdateFebruary 21, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2026
✔ NPI 1114817822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1410 4TH STREET DR NW STE 102, Hickory, NC 28601
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innerglow Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Innerglow Health PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sierra Roybal, PMHNP-BC
Nurse Practitioner
NPI 1932885753
107 MICA AVE # A
Morganton, NC 28655
(828) 544-5101
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Innerglow Health PLLC's NPI number?

The NPI number for Innerglow Health PLLC is 1114817822. It was assigned to this organization in the NPPES registry on July 4, 2025.

Where is Innerglow Health PLLC located?

Innerglow Health PLLC is located at 1410 4th Street Dr NW Ste 102, Hickory, NC 28601. The listed phone number is (828) 782-0195.

What is Innerglow Health PLLC's specialty?

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

Is Innerglow Health PLLC enrolled in Medicare?

Yes. Innerglow Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innerglow Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Innerglow Health PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Innerglow Health PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Innerglow Health PLLC 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 Innerglow Health PLLC was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.