Individual provider Active NPI

Renee Olexy, NURSE PRACTITIONER

  • Obstetrics & Gynecology Nurse Practitioner
  • Elizabeth City, NC
National Provider Identifier
1134465693
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
5012586 Issued in NC
Practice address
1138 N Road St
Elizabeth City, NC 27909-3353
Phone
(252) 335-4890
Fax
(252) 335-7836
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 0024170362 VA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 5012586 NC Primary

Addresses

Primary practice location

1138 N Road St
Elizabeth City, NC 27909-3353

Mailing address

667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481

Other practice location 1

844 Battlefield Blvd N Ste 100
Chesapeake, VA 23320-4802
Phone (757) 312-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130327000556 VA Practitioner - Nurse Practitioner 0244475051 Reassigns benefits to 1 organization
I20200317002374 NC Practitioner - Nurse Practitioner 0244475051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Regional Medical GroupGroup PAC ID 8426113663, shared by 3 NPIs, 148 clinicians

Practice addresses (Care Compare)

300 Medical Pkwy
Chesapeake, VA 23320-4985

534 Caratoke Hwy
Moyock, NC 27958-8740
Phone (252) 435-6621

800 Battlefield Blvd N
Chesapeake, VA 23320-4802
Phone (757) 312-3085

844 Battlefield Blvd N
Chesapeake, VA 23320-4802
Phone (757) 312-6800

Hospital & facility affiliations

  • Chesapeake General Hospital Hospital, Chesapeake, VA, CCN 490120

Merit-based Incentive Payment System (MIPS)

Final score
90.57 of 100Reported as group
Quality
87.01
Promoting interoperability
100
Improvement activities
40
Cost
81.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5012586NCMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Regional Medical Group CurrentSince Oct 6, 2017 Accepting new patients
Chesapeake Regional Medical Group CurrentSince Jan 8, 2020 Accepting new patients
Chesapeake Regional Medical Group Obstetrics & Gynecology CurrentSince Oct 6, 2017 Accepting new patients

Locations

1138 N Road St
Elizabeth Cty, NC 27909
Phone (252) 335-4890

534 Caratoke Hwy
Moyock, NC 27958
Phone (252) 435-6621

844 Battlefield Blvd N
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3033

667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132

844 Battlefield Blvd N
Ste 100
Chesapeake, VA 23320
Phone (757) 312-3033

300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102

Interoperability endpoints

  • Direct secure messaging: rolexy1154335@direct.bsmhealth.org
  • Direct secure messaging: renee.olexy.2@5072.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1134465693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 KINGSBOROUGH SQ STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233204999",
            "telephone_number": "757-842-4481",
            "fax_number": "757-312-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N ROAD ST",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279093353",
            "telephone_number": "252-335-4890",
            "fax_number": "252-335-7836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "844 Battlefield Blvd N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204802",
            "country_code": "US",
            "telephone_number": "757-312-3033",
            "fax_number": "757-399-0371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLEXY",
        "first_name": "RENEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2024-06-20",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "VA",
            "license": "0024170362",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NC",
            "license": "5012586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth City, NC

Sources for this page

Verify at the official NPI Registry.