OLIVIA PATRICE DEBELLIS PA-C
NPI 1417613282
Physician Assistant in Charlotte, NC

Q: What is Olivia Debellis's NPI number?

The NPI number for Olivia Debellis is 1417613282. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Q: What is Olivia Debellis'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 Debellis was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 November 16, 2021PECOS EnrolledAccepts Medicare Assignment

125 QUEENS RD STE 540, CHARLOTTE, NC 28204(980) 302-6560(980) 302-6565 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, May 5, 2023, Nov 16, 2021 (3 updates tracked since 2021).

On this page

About Olivia Patrice Debellis Pa-c NPPES

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

OLIVIA PATRICE DEBELLIS PA-C (NPI 1417613282) is an individual physician assistant in Charlotte, North Carolina, licensed in North Carolina (0010-12882) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417613282

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameOLIVIA PATRICE DEBELLISCredential: PA-C

Location Address125 QUEENS RD STE 540Charlotte, NC 28204-3512

Mailing AddressPo Box 60447Charlotte, NC 28260-0447

Phone(980) 302-6560

Fax(980) 302-6565

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateNovember 16, 2021

Last NPPES UpdateJune 30, 20253 updates tracked since enumeration

NPPES CertifiedJune 30, 2025

✔ NPI 1417613282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-12882

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA062993 (PA)

125 QUEENS RD STE 540, Charlotte, NC 28204

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1600 Commerce BlvdStroudsburg, PA 18360-6214 · Phone (570) 421-4000 · Fax (570) 476-3179

Location 2245 Charlois BlvdWinston Salem, NC 27103-1507 · Phone (336) 659-4777 · Fax (336) 659-4798

Other Identifiers 1

OtherMA062993PA · State License

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olivia Patrice Debellis 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 ID3375938756

PECOS Enrollment IDI20230505002386

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.

Hospital Affiliations CMS Care Compare 3

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

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

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number340171

Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County

Emergency services Birthing friendly

Novant Health Ballantyne Medical Center

Acute Care Hospitals · Charlotte, NC

OwnershipVoluntary non-profit - Private

CMS Certification Number340195

Location10905 Providence Road WCharlotte, NC 28277 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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 9

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

MALCOLM STRACHAN ROSS MD

Obstetrics & Gynecology (Gynecologic Oncology)