IVELISSE OLIVENCIA-SIMMONS NP
NPI 1295931251
Nurse Practitioner in Gastonia, NC

Q: What is Ivelisse Olivencia-simmons's NPI number?

The NPI number for Ivelisse Olivencia-simmons is 1295931251. It was assigned to this individual provider in the NPPES registry on June 26, 2007.

Q: What is Ivelisse Olivencia-simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since June 26, 2007PECOS EnrolledAccepts Medicare Assignment

2555 COURT DR STE 200, GASTONIA, NC 28054(704) 867-2141(704) 867-2308 Get Directions Write a Review

NPPES record last updated: January 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2026, Feb 11, 2025, Apr 23, 2024 and 2 more (5 updates tracked since 2018).

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About Ivelisse Olivencia-simmons Np NPPES

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

IVELISSE OLIVENCIA-SIMMONS NP (NPI 1295931251) is an individual nurse practitioner in Gastonia, North Carolina, licensed in North Carolina (5003363) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Mission Hospital And Asheville Surgery Ce, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1295931251

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameIVELISSE OLIVENCIA-SIMMONSCredential: NP

Location Address2555 COURT DR STE 200Gastonia, NC 28054-2178

Mailing AddressPo Box 744786Atlanta, GA 30374-4786 · (704) 834-2450 · Fax (704) 671-5331

Phone(704) 867-2141

Fax(704) 867-2308

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateJune 26, 2007

Last NPPES UpdateJanuary 19, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2026

✔ NPI 1295931251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in NC · 5003363✔ Licensed in ID · 79066✔ Licensed in CT · 218300

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5003363 (NC)

2555 COURT DR STE 200, Gastonia, NC 28054

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Secondary Practice Locations 5

Location 12000 Caromont Pkwy Ste 200Belmont, NC 28012-0158 · Phone (704) 867-2141 · Fax (704) 867-2308

Location 21200 N Elm StGreensboro, NC 27401-1004 · Phone (336) 832-2820

Location 3101 Manning DrChapel Hill, NC 27599-0001 · Phone (919) 966-4131 · Fax (919) 843-6949

Location 4540 LITCHFIELD STTORRINGTON, CT 06790-6679 · Phone (972) 449-0540

Location 5330 Billingsley Rd Ste 202Charlotte, NC 28211 · Phone (704) 316-3070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Moda Health Plan, Inc. and more.Insurance ›

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

Ivelisse Olivencia-simmons Np 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 ID8628142643

PECOS Enrollment IDI20080808000158, I20250512002430

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

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.

28 services22 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Mission Hospital And Asheville Surgery Ce

Acute Care Hospitals · Asheville, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340002

Location509 Biltmore AveAsheville, NC 28801 · Buncombe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28054 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

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

DR. MICHAEL ELLIOT STERNBERG DO, MS

Internal Medicine (Cardiovascular Disease)