DAVID J MEMMOLI APRN
Accepted Insurance for NPI 1891978607
Nurse Practitioner - Family in Raleigh, NC
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DAVID J MEMMOLI APRN, a nurse practitioner provider in Raleigh, NC, is listed as in-network for 196 health insurance plans from 9 insurance companies, led by Blue Cross and Blue Shield of NC, Ambetter from Arkansas Health & Wellness and WellPoint. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter from Arizona Complete Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Arkansas Health & Wellness
Choice Bronze HSA (QualChoice)
Complete Gold + Vision + Adult Dental
Complete Gold
Connected Silver (QualChoice) + Vision + Adult Dental
Connected Silver (QualChoice)
Connected Silver (QualChoiceLife) + Vision + Adult Dental
Connected Silver (QualChoiceLife)
Connected Silver + Vision + Adult Dental
Connected Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold (QualChoice) + Vision + Adult Dental
Elite Gold (QualChoice)
Elite Gold (QualChoiceLife) + Vision + Adult Dental
Elite Gold (QualChoiceLife)
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze (QualChoice)
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold (QualChoice) + Vision + Adult Dental
Standard Gold (QualChoice)
Standard Gold (QualChoiceLife) + Vision + Adult Dental
Standard Gold (QualChoiceLife)
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver (QualChoice) + Vision + Adult Dental
Standard Silver (QualChoice)
Standard Silver (QualChoiceLife)
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Louisiana Healthcare Connections
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Superior HealthPlan
Complete Gold + Vision + Adult Dental
Complete Gold
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of Oklahoma
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Asthma/COPD Care Silver with $0 Drug Options
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Blue Cross and Blue Shield of NC
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Silver Standard | Nationwide Doctors
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Care Bronze Standard | Statewide Doctors
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Care Gold Standard A | Statewide Doctors
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Silver Standard | Statewide Doctors
Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance
Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance
Blue Home Bronze HSA Eligible | Integrated | with UNC Health Alliance
Blue Home Bronze Standard | with UNC Health Alliance
Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance
Blue Home Gold Standard A | with UNC Health Alliance
Blue Home Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance
Blue Home Silver Standard | with UNC Health Alliance
Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors
Blue Value Bronze HSA Eligible | Integrated | Limited Statewide Doctors
Blue Value Bronze Standard | Limited Statewide Doctors
Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors
Blue Value Gold Standard A | Limited Statewide Doctors
Blue Value Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Silver Standard | Limited Statewide Doctors
Imperial Insurance Companies, Inc.
Imperial Preferred Gold
Imperial Preferred Silver
Imperial Standard Bronze
Imperial Standard Gold
Imperial Standard Silver
Molina Healthcare
Molina Gold Core 1640 Plus with Adult Dental and Vision
Molina Gold Core 1640 Plus with Adult Vision
Molina Gold Core 1640
Molina Gold Saver 750 Plus with Adult Dental and Vision
Molina Gold Saver 750 Plus with Adult Vision
Molina Gold Saver 750
Molina Gold Standard
Molina Silver Core Plus with Adult Dental and Vision
Molina Silver Core Plus with Adult Vision
Molina Silver Core
Molina Silver Saver with Four Free PCP Visits
Molina Silver Standard
WellPoint
Wellpoint Essential Bronze 4000 HSA (+ Incentives)
Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs)
Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Catastrophic (+ Incentives)
Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does DAVID J MEMMOLI APRN accept?
Marketplace files for the 2026 plan year list DAVID J MEMMOLI APRN as in-network for 196 plans from 9 insurance companies. The largest networks are Blue Cross and Blue Shield of NC (36 plans), Ambetter from Arkansas Health & Wellness (31 plans), WellPoint (21 plans), followed by 6 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DAVID J MEMMOLI APRN enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does DAVID J MEMMOLI APRN participate in?
The accepted plans include 54 HMO plans, 50 PPO plans, 37 EPO plans and 28 POS plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
