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MISS IVY LANE ZICCARELLI PA-C
NPI 1629434691
Physician Assistant in Matthews, NC

Active since January 06, 2016PECOS EnrolledAccepts Medicare Assignment
1401 MATTHEWS TOWNSHIP PKWY STE 320, MATTHEWS, NC 28105(704) 384-1261(704) 384-3145 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2020, Nov 14, 2018 (2 updates tracked since 2018).

About Miss Ivy Lane Ziccarelli Pa-c NPPES

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

MISS IVY LANE ZICCARELLI PA-C (NPI 1629434691) is an individual physician assistant in Matthews, North Carolina, licensed in North Carolina (0010-06261) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629434691
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS IVY LANE ZICCARELLICredential: PA-C
Location Address1401 MATTHEWS TOWNSHIP PKWY STE 320Matthews, NC 28105
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1261 · Fax (704) 384-3145
Phone(704) 384-1261
Fax(704) 384-3145
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 6, 2016
Last NPPES UpdateOctober 26, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2020
✔ NPI 1629434691 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 · 0010-06261
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
1401 MATTHEWS TOWNSHIP PKWY STE 320, Matthews, NC 28105
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Secondary Practice Locations 2

Location 1NOVANT HEALTH PSYCHIATRIC ASSOCIATES, 1401 MATTHEWS TOWNSHIP PKWY; STE 320MATTHEWS, NC 28105-5403 · Phone (704) 384-1261 · Fax (704) 384-3145
Location 210801 Monroe Rd, Suite AMatthews, NC 28105-8335 · Phone (704) 237-4240

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

Miss Ivy Lane Ziccarelli 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 ID4981940459
PECOS Enrollment IDI20190104001774
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services15 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
48 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28105 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 15

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

COURTNEY MICHELLE CAVENY MA, LMFT
Marriage & Family Therapist
1401 MATTHEWS TOWNSHIP PKWY STE 320
MATTHEWS, NC 28105
Mecklenburg County (704) 384-1261
AMY SMITH MEDLIN LCSW
Social Worker (Clinical)
1401 MATTHEWS TOWNSHIP PKWY STE 320
MATTHEWS, NC 28105
Mecklenburg County (704) 384-1261
KELLY ELYSSE SCHNEIDER LPC
Counselor (Professional)
1401 MATTHEWS TOWNSHIP PKWY STE 320
MATTHEWS, NC 28105
Mecklenburg County (704) 384-1261
MARKETTA IRENE RAY
Counselor (Mental Health)
1401 MATTHEWS TOWNSHIP PKWY STE 320
MATTHEWS, NC 28105
Mecklenburg County (704) 384-1261
CHERYL MARIE FERRARO LCMHC
Counselor (Mental Health)
1401 MATTHEWS TOWNSHIP PKWY STE 320
MATTHEWS, NC 28105
Mecklenburg County (704) 384-1261
QUINN M. CARROLL LCSW
Social Worker (Clinical)
1401 MATTHEWS TOWNSHIP PKWY STE 320
MATTHEWS, NC 28105
Mecklenburg County (704) 384-1261
DR. KALPANA SHANMUGAM M.D
Psychiatry & Neurology (Psychiatry)
1401 MATTHEWS TOWNSHIP PKWY STE 320
MATTHEWS, NC 28105
Mecklenburg County (704) 316-3145
MRS. SHELLEY JANE EVERTS FNP
Nurse Practitioner (Family)
1401 MATTHEWS TOWNSHIP PKWY STE 320
MATTHEWS, NC 28105
Mecklenburg County (704) 384-1261

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 Ivy Ziccarelli's NPI number?

The NPI number for Ivy Ziccarelli is 1629434691. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Ivy Ziccarelli located?

Ivy Ziccarelli practices at 1401 Matthews Township Pkwy Ste 320, Matthews, NC 28105. The listed phone number is (704) 384-1261.

What is Ivy Ziccarelli's specialty?

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

Is Ivy Ziccarelli enrolled in Medicare?

Yes. Ivy Ziccarelli 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.

What insurance does Ivy Ziccarelli accept?

Health plans from Blue Cross and Blue Shield of NC list Ivy Ziccarelli 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 Ivy Ziccarelli was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.