ALICIA LYNNE IBANEZ P.A.
NPI 1124364070
Physician Assistant - Medical in Charlotte, NC

Active since December 21, 2012PECOS Enrolled
2131 AYRSLEY TOWN BLVD, SUITE 400, CHARLOTTE, NC 28273(980) 297-7733(980) 297-7744 Get Directions Write a Review

NPPES record last updated: July 20, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alicia Lynne Ibanez P.a. NPPES

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

ALICIA LYNNE IBANEZ P.A. (NPI 1124364070) is an individual medical provider in Charlotte, North Carolina, licensed in North Carolina (0010-03995) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124364070
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameALICIA LYNNE IBANEZCredential: P.A.
Location Address2131 AYRSLEY TOWN BLVD, SUITE 400Charlotte, NC 28273-3595
Mailing Address120 Chandeleur DrMooresville, NC 28117-5954 · (508) 335-6122
Fax(980) 297-7744
Sole ProprietorNo
Enumeration DateDecember 21, 2012
Last NPPES UpdateJuly 20, 2015
NPI 1124364070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NC · 0010-03995
2131 AYRSLEY TOWN BLVD, Charlotte, NC 28273

Other Identifiers 4

Medicare PINNCA683ANC
Medicaid8103056NC
Medicaid1570PASC
Medicaid1124364070NC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Alicia Lynne Ibanez 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
115 services50 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
43 services43 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
30 services16 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$14.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Alicia Ibanez's NPI number?

The NPI number for Alicia Ibanez is 1124364070. It was assigned to this individual provider in the NPPES registry on December 21, 2012.

Where is Alicia Ibanez located?

Alicia Ibanez practices at 2131 Ayrsley Town Blvd Suite 400, Charlotte, NC 28273. The listed phone number is (980) 297-7733.

What is Alicia Ibanez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Alicia Ibanez enrolled in Medicare?

Yes. Alicia Ibanez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alicia Ibanez was last updated on July 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.