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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Secondary Practice Locations 5

Location 1101 Manning DrChapel Hill, NC 27599-0001 · Phone (919) 966-4131 · Fax (919) 843-6949
Location 2540 LITCHFIELD STTORRINGTON, CT 06790-6679 · Phone (972) 449-0540
Location 31200 N Elm StGreensboro, NC 27401-1004 · Phone (336) 832-2820
Location 42000 Caromont Pkwy Ste 200Belmont, NC 28012-0158 · Phone (704) 867-2141 · Fax (704) 867-2308
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, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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, I20251001001756
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Ivelisse Olivencia-simmons reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC
0.4 mi
Gynecologic Oncology
885 SUMMIT CROSSING PL
Gastonia, NC 28054
  • Reassigned Medicare billing, North Carolina enrollment
  • 2,998 clinicians in this Medicare group
NPI 1093369530 (980) 302-6560
Mission Community Anesthesiology Specialists LLC
78 mi
Gastroenterology
2695 HENDERSONVILLE RD STE 206
Arden, NC 28704
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Mission Health Community Multispecialty Providers LLC
  • 824 clinicians in this Medicare group
NPI 1841760238 (828) 213-1740
Moses Cone Physician Services, Inc.
90 mi
Internal Medicine
104 POMONA DR
Greensboro, NC 27407
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
NPI 1528664596 (336) 890-2474
Southeastern Hospitalist Services PC
168 mi
Hospitalist
809 82ND PKWY
Myrtle Beach, SC 29572
  • Reassigned Medicare billing, South Carolina enrollment
  • 529 clinicians in this Medicare group
NPI 1003280108 (843) 692-1000
Access Telecare, PLLC
914 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Connecticut, Florida, Iowa, Louisiana, Massachusetts, Maryland, New Jersey, Virginia and Vermont enrollments
  • 90 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540
Ap Us 14, PA
914 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Kansas enrollment
  • 82 clinicians in this Medicare group
NPI 1902415904 (972) 449-0540

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

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 2

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg 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.

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)
2555 COURT DR STE 200
GASTONIA, NC 28054
Gaston County (704) 913-6607
JESSICA PUTNAM AGACNP
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Gaston County (704) 834-3278
CARLOS SAUL ANZOLA PA-C
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054
Gaston County (704) 867-2141
DESTINY HOPE MURPHY NP
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Gaston County (704) 834-3278
THU THUY T VU AGACNP
Nurse Practitioner (Acute Care)
2555 COURT DR STE 200
GASTONIA, NC 28054
Gaston County (704) 834-3278
GREGORY WESLEY WOO MD
Internal Medicine (Clinical Cardiac Electrophysiology)
2555 COURT DR STE 200
GASTONIA, NC 28054
Gaston County (704) 867-2141
CASEY SAMANTHA FINNEGAN
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054
Gaston County (704) 867-2141
JORDAN T DELK PA-C
Physician Assistant
2555 COURT DR STE 200
GASTONIA, NC 28054
Gaston County (704) 867-2141

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 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.

Where is Ivelisse Olivencia-simmons located?

Ivelisse Olivencia-simmons practices at 2555 Court Dr Ste 200, Gastonia, NC 28054. The listed phone number is (704) 867-2141.

What is Ivelisse Olivencia-simmons's specialty?

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

Is Ivelisse Olivencia-simmons enrolled in Medicare?

Yes. Ivelisse Olivencia-simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ivelisse Olivencia-simmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivelisse Olivencia-simmons reassigns Medicare benefits to 6 organizations: Novant Health Medical Group, LLC (Gastonia, NC), Mission Community Anesthesiology Specialists LLC (Arden, NC), Moses Cone Physician Services, Inc. (Greensboro, NC), Southeastern Hospitalist Services PC (Myrtle Beach, SC), Access Telecare, PLLC (Dallas, TX) and 1 more organization, listed in the Medicare section above. Each 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 Ivelisse Olivencia-simmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivelisse Olivencia-simmons accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare, Moda Health Plan, Inc. and Oscar Health Plan of North Carolina, Inc list Ivelisse Olivencia-simmons 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.

Is Ivelisse Olivencia-simmons affiliated with any hospitals?

According to CMS data, Ivelisse Olivencia-simmons is affiliated with Memorial Mission Hospital And Asheville Surgery Ce and Novant Health Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Ivelisse Olivencia-simmons was last updated on January 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.